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GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 401k Plan overview

Plan NameGROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE
Plan identification number 502

GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

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

Company Name:MERCY MEDICAL CENTER
Employer identification number (EIN):420698295
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about MERCY MEDICAL CENTER

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1913-03-17
Company Identification Number: 11966
Legal Registered Office Address: 1000 NORTH VILLAGE AVENUE
Nassau
ROCKVILLE CENTRE
United States of America (USA)
11570

More information about MERCY MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022024-01-01NANCY HILL-DAVIS
5022023-01-01
5022023-01-01NANCY HILL-DAVIS
5022022-01-01
5022022-01-01NANCY HILL-DAVIS
5022021-01-01
5022021-01-01NANCY HILL-DAVIS
5022020-01-01
5022019-01-01
5022018-01-01NANCY HILL-DAVIS
5022017-01-01NANCY HILL-DAVIS
5022016-01-01NANCY HILL-DAVIS
5022015-01-01DOUG JONTZ
5022014-01-01DOUG JONTZ
5022013-01-01DOUG JONTZ
5022012-01-01DOUG JONTZ
5022011-01-01DOUG JONTZ
5022010-01-01DOUG JONTZ
5022009-09-01DOUG JONTZ
5022009-07-01SUSAN OCONNOR

Plan Statistics for GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE

401k plan membership statisitcs for GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE

Measure Date Value
2023: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2023 401k membership
Total participants, beginning-of-year2023-01-011,990
Total number of active participants reported on line 7a of the Form 55002023-01-012,035
Total of all active and inactive participants2023-01-012,035
Total participants2023-01-012,035
2022: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2022 401k membership
Total participants, beginning-of-year2022-01-011,981
Total number of active participants reported on line 7a of the Form 55002022-01-011,990
Total of all active and inactive participants2022-01-011,990
Total participants2022-01-011,990
2021: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2021 401k membership
Total participants, beginning-of-year2021-01-012,011
Total number of active participants reported on line 7a of the Form 55002021-01-011,981
Total of all active and inactive participants2021-01-011,981
Total participants2021-01-011,981
2020: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2020 401k membership
Total participants, beginning-of-year2020-01-012,053
Total number of active participants reported on line 7a of the Form 55002020-01-012,011
Total of all active and inactive participants2020-01-012,011
Total participants2020-01-012,011
2019: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2019 401k membership
Total participants, beginning-of-year2019-01-012,012
Total number of active participants reported on line 7a of the Form 55002019-01-012,053
Total of all active and inactive participants2019-01-012,053
Total participants2019-01-012,053
2018: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2018 401k membership
Total participants, beginning-of-year2018-01-012,019
Total number of active participants reported on line 7a of the Form 55002018-01-012,012
Total of all active and inactive participants2018-01-012,012
Total participants2018-01-012,012
2017: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2017 401k membership
Total participants, beginning-of-year2017-01-011,968
Total number of active participants reported on line 7a of the Form 55002017-01-012,019
Total of all active and inactive participants2017-01-012,019
Total participants2017-01-012,019
2016: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2016 401k membership
Total participants, beginning-of-year2016-01-011,891
Total number of active participants reported on line 7a of the Form 55002016-01-011,968
Total of all active and inactive participants2016-01-011,968
Total participants2016-01-011,968
2015: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2015 401k membership
Total participants, beginning-of-year2015-01-012,174
Total number of active participants reported on line 7a of the Form 55002015-01-011,891
Total of all active and inactive participants2015-01-011,891
Total participants2015-01-011,891
2014: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2014 401k membership
Total participants, beginning-of-year2014-01-012,176
Total number of active participants reported on line 7a of the Form 55002014-01-012,174
Total of all active and inactive participants2014-01-012,174
Total participants2014-01-012,174
2013: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2013 401k membership
Total participants, beginning-of-year2013-01-012,203
Total number of active participants reported on line 7a of the Form 55002013-01-012,176
Total of all active and inactive participants2013-01-012,176
Total participants2013-01-012,176
2012: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2012 401k membership
Total participants, beginning-of-year2012-01-012,006
Total number of active participants reported on line 7a of the Form 55002012-01-012,203
Total of all active and inactive participants2012-01-012,203
Total participants2012-01-012,203
2011: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2011 401k membership
Total participants, beginning-of-year2011-01-012,012
Total number of active participants reported on line 7a of the Form 55002011-01-012,006
Total of all active and inactive participants2011-01-012,006
Total participants2011-01-012,006
2010: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2010 401k membership
Total participants, beginning-of-year2010-01-011,921
Total number of active participants reported on line 7a of the Form 55002010-01-012,012
Total of all active and inactive participants2010-01-012,012
Total participants2010-01-012,012
2009: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2009 401k membership
Total participants, beginning-of-year2009-09-011,831
Total number of active participants reported on line 7a of the Form 55002009-09-011,921
Total of all active and inactive participants2009-09-011,921
Total participants2009-09-011,921
Total participants, beginning-of-year2009-07-011,755
Total number of active participants reported on line 7a of the Form 55002009-07-011,831
Total of all active and inactive participants2009-07-011,831
Total participants2009-07-011,831

Form 5500 Responses for GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE

2023: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 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 planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 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 planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 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 planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 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 benefit arrangement – InsuranceYes
2018: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 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 benefit arrangement – InsuranceYes
2017: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 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 benefit arrangement – InsuranceYes
2016: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 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 benefit arrangement – InsuranceYes
2015: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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 benefit arrangement – InsuranceYes
2014: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE AND AD&D PLAN FOR EMPLOYEES OF MERCY HOSPITAL-RELIANCE 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes
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 planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA3890LF026001
Policy instance 1
Insurance contract or identification numberSA3890LF026001
Number of Individuals Covered2035
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $62,384
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $556,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA3890LF026001
Policy instance 1
Insurance contract or identification numberSA3890LF026001
Number of Individuals Covered1990
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $50,301
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $611,483
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA3890LF026001
Policy instance 1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3890LF026001
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number151667
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number151667
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number151667
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number151667
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number151667
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number151667
Policy instance 2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50029
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50029
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50029
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50029
Policy instance 1

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