MOSAIC HEALTH SYSTEM has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT
401k plan membership statisitcs for GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT
| Measure | Date | Value |
|---|
| 2018: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 2,916 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 0 |
| 2017: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 2,797 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 2,916 |
| Total of all active and inactive participants | 2017-01-01 | 2,916 |
| Total participants | 2017-01-01 | 2,916 |
| 2016: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 2,690 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 2,761 |
| Total of all active and inactive participants | 2016-01-01 | 2,761 |
| Total participants | 2016-01-01 | 2,761 |
| 2015: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 2,774 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 2,819 |
| Total of all active and inactive participants | 2015-01-01 | 2,819 |
| Total participants | 2015-01-01 | 2,819 |
| 2014: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 3,117 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 2,727 |
| Total of all active and inactive participants | 2014-01-01 | 2,727 |
| Total participants | 2014-01-01 | 2,727 |
| 2013: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 2,650 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 2,826 |
| Total of all active and inactive participants | 2013-01-01 | 2,826 |
| Total participants | 2013-01-01 | 2,826 |
| 2012: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 2,429 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 2,650 |
| Total of all active and inactive participants | 2012-01-01 | 2,650 |
| Total participants | 2012-01-01 | 2,650 |
| 2011: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 2,421 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 2,429 |
| Total of all active and inactive participants | 2011-01-01 | 2,429 |
| Total participants | 2011-01-01 | 2,429 |
| 2009: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 2,422 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 2,475 |
| Total of all active and inactive participants | 2009-01-01 | 2,475 |
| Total participants | 2009-01-01 | 2,475 |
| 2018: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | Yes |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP LIFE INS & ACCIDENTAL DEATH DISMEMBERMENT & LOSS OF SIGHT 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX964996 |
| Policy instance | 1 |
| Insurance contract or identification number | FLX964996 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $23,340 | | Total amount of fees paid to insurance company | USD $10,746 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH | | 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 Carrier | USD $669,143 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,340 | | Amount paid for insurance broker fees | 10746 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX964996 |
| Policy instance | 1 |
| Insurance contract or identification number | FLX964996 | | Number of Individuals Covered | 2916 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $25,614 | | Total amount of fees paid to insurance company | USD $14,951 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH | | 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 Carrier | USD $721,706 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $25,614 | | Amount paid for insurance broker fees | 14951 | | Additional information about fees paid to insurance broker | OVERRIDE | | Insurance broker organization code? | 3 | | Insurance broker name | LOCKTON COMPANIES LLC |
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