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GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 401k Plan overview

Plan NameGROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER
Plan identification number 506

GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER Benefits

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

401k Sponsoring company profile

BURNETT MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:BURNETT MEDICAL CENTER
Employer identification number (EIN):390938661
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-01-01JULIE MCKENZIE2023-07-18 JULIE MCKENZIE2023-07-18
5062021-01-01JULIE MCKENZIE2022-07-15 JULIE MCKENZIE2022-07-15
5062020-01-01JULIE MCKENZIE2021-07-22 JULIE MCKENZIE2021-07-22
5062019-01-01SANDRA HINRICHS2020-07-02 SANDRA HINRICHS2020-07-02
5062018-01-01SANDRA HINRICHS2019-07-25 SANDRA HINRICHS2019-07-25
5062017-01-01
5062016-01-01
5062015-01-01
5062014-01-01
5062013-01-01
5062012-01-01SANDRA HINNICHS
5062011-01-01SANDRA HINRICHS
5062010-01-01SANDY HINRICHS
5062009-01-01SANDRA HINNCHS

Plan Statistics for GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER

401k plan membership statisitcs for GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER

Measure Date Value
2022: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2022 401k membership
Total participants, beginning-of-year2022-01-01116
Total number of active participants reported on line 7a of the Form 55002022-01-01109
Total of all active and inactive participants2022-01-01109
Total participants2022-01-01109
2021: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2021 401k membership
Total participants, beginning-of-year2021-01-01122
Total number of active participants reported on line 7a of the Form 55002021-01-01116
Total of all active and inactive participants2021-01-01116
Total participants2021-01-01116
2020: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2020 401k membership
Total participants, beginning-of-year2020-01-01124
Total number of active participants reported on line 7a of the Form 55002020-01-01122
Total of all active and inactive participants2020-01-01122
Total participants2020-01-01122
2019: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2019 401k membership
Total participants, beginning-of-year2019-01-01141
Total number of active participants reported on line 7a of the Form 55002019-01-01124
Total of all active and inactive participants2019-01-01124
Total participants2019-01-01124
2018: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2018 401k membership
Total participants, beginning-of-year2018-01-01138
Total number of active participants reported on line 7a of the Form 55002018-01-01141
Total of all active and inactive participants2018-01-01141
Total participants2018-01-01141
2017: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2017 401k membership
Total participants, beginning-of-year2017-01-01132
Total number of active participants reported on line 7a of the Form 55002017-01-01138
Total of all active and inactive participants2017-01-01138
Total participants2017-01-01138
2016: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2016 401k membership
Total participants, beginning-of-year2016-01-01138
Total number of active participants reported on line 7a of the Form 55002016-01-01132
Total of all active and inactive participants2016-01-01132
Total participants2016-01-01132
2015: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2015 401k membership
Total participants, beginning-of-year2015-01-01130
Total number of active participants reported on line 7a of the Form 55002015-01-01138
Total of all active and inactive participants2015-01-01138
Total participants2015-01-01138
2014: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2014 401k membership
Total participants, beginning-of-year2014-01-01124
Total number of active participants reported on line 7a of the Form 55002014-01-01130
Total of all active and inactive participants2014-01-01130
Total participants2014-01-01130
2013: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2013 401k membership
Total participants, beginning-of-year2013-01-01120
Total number of active participants reported on line 7a of the Form 55002013-01-01124
Total of all active and inactive participants2013-01-01124
Total participants2013-01-01124
2012: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2012 401k membership
Total participants, beginning-of-year2012-01-01124
Total number of active participants reported on line 7a of the Form 55002012-01-01120
Total of all active and inactive participants2012-01-01120
Total participants2012-01-01120
2011: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2011 401k membership
Total participants, beginning-of-year2011-01-01119
Total number of active participants reported on line 7a of the Form 55002011-01-01124
Total of all active and inactive participants2011-01-01124
Total participants2011-01-01124
2010: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2010 401k membership
Total participants, beginning-of-year2010-01-01124
Total number of active participants reported on line 7a of the Form 55002010-01-01119
Total of all active and inactive participants2010-01-01119
Total participants2010-01-01119
2009: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2009 401k membership
Total participants, beginning-of-year2009-01-01113
Total number of active participants reported on line 7a of the Form 55002009-01-01124
Total of all active and inactive participants2009-01-01124
Total participants2009-01-01124

Form 5500 Responses for GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER

2022: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 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: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 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: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 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: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 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: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 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: GROUP HEALTH INSURANCE BENEFITS FOR EMPLOYEES OF BURNETT MEDICAL CENTER 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

MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number309972
Policy instance 1
Insurance contract or identification number309972
Number of Individuals Covered159
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $56,690
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,889,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,690
Insurance broker organization code?3
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number301178
Policy instance 1
Insurance contract or identification number301178
Number of Individuals Covered166
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $57,854
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,928,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $57,854
Insurance broker organization code?3
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number301178
Policy instance 1
Insurance contract or identification number301178
Number of Individuals Covered196
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $58,206
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,940,189
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,315
Insurance broker organization code?3
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number301178
Policy instance 1
Insurance contract or identification number301178
Number of Individuals Covered195
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $56,032
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,867,733
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,032
Insurance broker organization code?3
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number301178
Policy instance 1
Insurance contract or identification number301178
Number of Individuals Covered211
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $59,444
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,851,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,444
Insurance broker organization code?3
Insurance broker nameLAMAIR MULOCK CONDON CO
MEDICA (National Association of Insurance Commissioners NAIC id number: 1259 )
Policy contract number300590
Policy instance 1
Insurance contract or identification number300590
Number of Individuals Covered211
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $45,488
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,516,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,488
Insurance broker organization code?3
Insurance broker nameLAMAIR MULOCK CONDON CO
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number25394
Policy instance 1
Insurance contract or identification number25394
Number of Individuals Covered130
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $35,721
Total amount of fees paid to insurance companyUSD $569
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,302,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,721
Amount paid for insurance broker fees569
Additional information about fees paid to insurance brokerPRODUCTION BONUS
Insurance broker organization code?3
Insurance broker nameLA MAIR MULOCK CONDON COMPANY
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number25394
Policy instance 1
Insurance contract or identification number25394
Number of Individuals Covered124
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $37,373
Total amount of fees paid to insurance companyUSD $4
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,245,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,373
Amount paid for insurance broker fees4
Additional information about fees paid to insurance brokerADMINISTRATIVE FEE
Insurance broker organization code?3
Insurance broker nameLAMAIR-MULOCK-CONDON COMPANY
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number25394
Policy instance 1
Insurance contract or identification number25394
Number of Individuals Covered120
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $40,158
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,236,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,158
Insurance broker organization code?3
Insurance broker nameFRED BOUNDS
HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )
Policy contract number25394
Policy instance 1
Insurance contract or identification number25394
Number of Individuals Covered124
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $32,889
Total amount of fees paid to insurance companyUSD $4
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,198,021
COMPCARE HEALTH SERVICES INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 95693 )
Policy contract number00103634
Policy instance 1
Insurance contract or identification number00103634
Number of Individuals Covered119
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $36,500
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,182,139
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,500
Insurance broker organization code?3
Insurance broker nameLAMAIR MURLOCK LONDON CO

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