NORTH COUNTRY HEALTH SERVICES HEALTH INSURANCE PLAN 401k Plan overview

NORTH COUNTRY HEALTH SERVICES HEALTH INSURANCE PLAN Benefits

401k Sponsoring company profile

Company Name:	SANFORD HEALTH OF NORTHERN MINNESOTA
Employer identification number (EIN):	411266009
NAIC Classification:	622000
NAIC Description:	Hospitals

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2012-01-01	CRAIG BOYER
501	2011-01-01	CRAIG BOYER
501	2009-01-01	CRAIG BOYER

Plan Statistics for NORTH COUNTRY HEALTH SERVICES HEALTH INSURANCE PLAN

Measure	Date	Value
2012: NORTH COUNTRY HEALTH SERVICES HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
2011: NORTH COUNTRY HEALTH SERVICES HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	609
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	600
Number of retired or separated participants receiving benefits	2011-01-01	15
Total of all active and inactive participants	2011-01-01	615
Total participants	2011-01-01	615
2009: NORTH COUNTRY HEALTH SERVICES HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	672
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	633
Number of retired or separated participants receiving benefits	2009-01-01	11
Total of all active and inactive participants	2009-01-01	644
Total participants	2009-01-01	644

Form 5500 Responses for NORTH COUNTRY HEALTH SERVICES HEALTH INSURANCE PLAN

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