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| Plan Name | GROUP MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NORTHLAND TELECOMMUNICATIONS CORPORATION |
| Employer identification number (EIN): | 911291294 |
| NAIC Classification: | 517000 |
Additional information about NORTHLAND TELECOMMUNICATIONS CORPORATION
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1985-03-22 |
| Company Identification Number: | 600578492 |
| Legal Registered Office Address: |
711 CAPITOL WAY S STE 204 OLYMPIA United States of America (USA) 985011267 |
More information about NORTHLAND TELECOMMUNICATIONS CORPORATION
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2016-08-01 | ||||
| 501 | 2016-08-01 | RICHARD I. CLARK | 2018-12-26 | ||
| 501 | 2015-08-01 | GARY S JONES | |||
| 501 | 2014-08-01 | RICHARD CLARK | |||
| 501 | 2013-08-01 | RICHARD I CLARK | |||
| 501 | 2012-08-01 | GARY S. JONES | |||
| 501 | 2011-08-01 | GARY S. JONES | |||
| 501 | 2009-08-01 | GARY S. JONES | |||
| 501 | 2009-08-01 | GARY S. JONES | |||
| 501 | 2009-08-01 | GARY S. JONES |
| Measure | Date | Value |
|---|---|---|
| 2016: GROUP MEDICAL PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-08-01 | 269 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 282 |
| Number of retired or separated participants receiving benefits | 2016-08-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2016-08-01 | 0 |
| Total of all active and inactive participants | 2016-08-01 | 283 |
| 2015: GROUP MEDICAL PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-08-01 | 235 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 267 |
| Number of retired or separated participants receiving benefits | 2015-08-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2015-08-01 | 0 |
| Total of all active and inactive participants | 2015-08-01 | 269 |
| 2014: GROUP MEDICAL PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-08-01 | 259 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-08-01 | 235 |
| Number of retired or separated participants receiving benefits | 2014-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-08-01 | 0 |
| Total of all active and inactive participants | 2014-08-01 | 235 |
| 2013: GROUP MEDICAL PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-08-01 | 291 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-08-01 | 258 |
| Number of retired or separated participants receiving benefits | 2013-08-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2013-08-01 | 0 |
| Total of all active and inactive participants | 2013-08-01 | 259 |
| 2012: GROUP MEDICAL PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-08-01 | 290 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-08-01 | 290 |
| Number of retired or separated participants receiving benefits | 2012-08-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2012-08-01 | 0 |
| Total of all active and inactive participants | 2012-08-01 | 291 |
| 2011: GROUP MEDICAL PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-08-01 | 307 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-08-01 | 290 |
| Number of retired or separated participants receiving benefits | 2011-08-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2011-08-01 | 0 |
| Total of all active and inactive participants | 2011-08-01 | 291 |
| 2009: GROUP MEDICAL PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-08-01 | 298 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-08-01 | 301 |
| Number of retired or separated participants receiving benefits | 2009-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-08-01 | 0 |
| Total of all active and inactive participants | 2009-08-01 | 301 |
| 2016: GROUP MEDICAL PLAN 2016 form 5500 responses | ||
|---|---|---|
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | Submission has been amended | No |
| 2016-08-01 | This submission is the final filing | No |
| 2016-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-08-01 | Plan is a collectively bargained plan | No |
| 2016-08-01 | Plan funding arrangement – Insurance | Yes |
| 2016-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP MEDICAL PLAN 2015 form 5500 responses | ||
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Submission has been amended | No |
| 2015-08-01 | This submission is the final filing | No |
| 2015-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-08-01 | Plan is a collectively bargained plan | No |
| 2015-08-01 | Plan funding arrangement – Insurance | Yes |
| 2015-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP MEDICAL PLAN 2014 form 5500 responses | ||
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Submission has been amended | No |
| 2014-08-01 | This submission is the final filing | No |
| 2014-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-08-01 | Plan is a collectively bargained plan | No |
| 2014-08-01 | Plan funding arrangement – Insurance | Yes |
| 2014-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GROUP MEDICAL PLAN 2013 form 5500 responses | ||
| 2013-08-01 | Type of plan entity | Single employer plan |
| 2013-08-01 | Submission has been amended | No |
| 2013-08-01 | This submission is the final filing | No |
| 2013-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-08-01 | Plan is a collectively bargained plan | No |
| 2013-08-01 | Plan funding arrangement – Insurance | Yes |
| 2013-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GROUP MEDICAL PLAN 2012 form 5500 responses | ||
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Submission has been amended | No |
| 2012-08-01 | This submission is the final filing | No |
| 2012-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-08-01 | Plan is a collectively bargained plan | No |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GROUP MEDICAL PLAN 2011 form 5500 responses | ||
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Submission has been amended | No |
| 2011-08-01 | This submission is the final filing | No |
| 2011-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-08-01 | Plan is a collectively bargained plan | No |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP MEDICAL PLAN 2009 form 5500 responses | ||
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | Submission has been amended | Yes |
| 2009-08-01 | This submission is the final filing | No |
| 2009-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-08-01 | Plan is a collectively bargained plan | No |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |
| Policy contract number | 1001006-0001 |
| Policy instance | 1 |
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |
| Policy contract number | 1001006-0001 |
| Policy instance | 1 |
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |
| Policy contract number | 1001006-0001 |
| Policy instance | 1 |
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |
| Policy contract number | 1001006-0001 |
| Policy instance | 1 |
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |
| Policy contract number | 1001006-0001 |
| Policy instance | 1 |
| PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 ) | |
| Policy contract number | 1001006-0001 |
| Policy instance | 1 |