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ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 401k Plan overview

Plan NameST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN
Plan identification number 501

ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:ST. ALEXIUS MEDICAL CENTER
Employer identification number (EIN):450226711
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-01-01KURT R SCHLEY2020-07-20
5012018-01-01
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01MELISSA JORGENSON
5012011-01-01GARY P MILLER
5012010-01-01GARY P. MILLER
5012009-01-01ANDREW WILSON

Plan Statistics for ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN

401k plan membership statisitcs for ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN

Measure Date Value
2019: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,135
Total number of active participants reported on line 7a of the Form 55002019-01-011,148
Number of retired or separated participants receiving benefits2019-01-0116
Total of all active and inactive participants2019-01-011,164
2018: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,538
Total number of active participants reported on line 7a of the Form 55002018-01-011,124
Number of retired or separated participants receiving benefits2018-01-0117
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,141
2017: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,620
Total number of active participants reported on line 7a of the Form 55002017-01-011,331
Number of retired or separated participants receiving benefits2017-01-0123
Total of all active and inactive participants2017-01-011,354
2016: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,620
Total number of active participants reported on line 7a of the Form 55002016-01-011,531
Number of retired or separated participants receiving benefits2016-01-0117
Total of all active and inactive participants2016-01-011,548
2015: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,829
Total number of active participants reported on line 7a of the Form 55002015-01-011,671
Number of retired or separated participants receiving benefits2015-01-0124
Total of all active and inactive participants2015-01-011,695
2014: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,839
Total number of active participants reported on line 7a of the Form 55002014-01-011,801
Number of retired or separated participants receiving benefits2014-01-0120
Total of all active and inactive participants2014-01-011,821
2013: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,759
Total number of active participants reported on line 7a of the Form 55002013-01-011,733
Number of retired or separated participants receiving benefits2013-01-0116
Total of all active and inactive participants2013-01-011,749
2012: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,742
Total number of active participants reported on line 7a of the Form 55002012-01-011,770
Number of retired or separated participants receiving benefits2012-01-0117
Total of all active and inactive participants2012-01-011,787
2011: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,754
Total number of active participants reported on line 7a of the Form 55002011-01-011,788
Number of retired or separated participants receiving benefits2011-01-0121
Total of all active and inactive participants2011-01-011,809
2010: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,678
Total number of active participants reported on line 7a of the Form 55002010-01-011,675
Number of retired or separated participants receiving benefits2010-01-0121
Total of all active and inactive participants2010-01-011,696
2009: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,658
Total number of active participants reported on line 7a of the Form 55002009-01-011,696
Number of retired or separated participants receiving benefits2009-01-0123
Total of all active and inactive participants2009-01-011,719

Form 5500 Responses for ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN

2019: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ST. ALEXIUS MEDICAL CENTER GROUP HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number250787
Policy instance 1
Insurance contract or identification number250787
Number of Individuals Covered2423
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,071,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number236693
Policy instance 2
Insurance contract or identification number236693
Number of Individuals Covered3962
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $13,267
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,267
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19344
Policy instance 1
Insurance contract or identification number19344
Number of Individuals Covered2509
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,178,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF NORTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 55891 )
Policy contract number19344
Policy instance 1
Insurance contract or identification number19344
Number of Individuals Covered2696
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,329,277
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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