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HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 401k Plan overview

Plan NameHARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN
Plan identification number 507

HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN Benefits

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

401k Sponsoring company profile

HARRINGTON MEMORIAL HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:HARRINGTON MEMORIAL HOSPITAL, INC.
Employer identification number (EIN):042103577
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-01-01
5072021-01-01
5072020-01-01
5072019-01-01
5072018-01-01
5072015-10-01CHRISTOPHER CANNIFF CHRISTOPHER CANNIFF2017-05-11
5072014-10-01CHRISTOPHER CANNIFF
5072013-10-01CHRISTOPHER CANNIFF
5072012-10-01EDWARD MOORE
5072011-10-01EDWARD MOORE
5072009-10-01EDWARD MOORE
5072008-10-01EDWARD MOORE

Plan Statistics for HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN

401k plan membership statisitcs for HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN

Measure Date Value
2022: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,333
Total number of active participants reported on line 7a of the Form 55002022-01-01708
Total of all active and inactive participants2022-01-01708
Total participants2022-01-01708
2021: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,336
Total number of active participants reported on line 7a of the Form 55002021-01-011,333
Total of all active and inactive participants2021-01-011,333
Total participants2021-01-011,333
2020: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,319
Total number of active participants reported on line 7a of the Form 55002020-01-011,336
Total of all active and inactive participants2020-01-011,336
Total participants2020-01-011,336
2019: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,374
Total number of active participants reported on line 7a of the Form 55002019-01-011,319
Total of all active and inactive participants2019-01-011,319
Total participants2019-01-011,319
2018: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,370
Total number of active participants reported on line 7a of the Form 55002018-01-011,374
Total of all active and inactive participants2018-01-011,374
Total participants2018-01-011,374
2015: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-011,312
Total number of active participants reported on line 7a of the Form 55002015-10-011,409
Total of all active and inactive participants2015-10-011,409
Total participants2015-10-011,409
2014: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-011,240
Total number of active participants reported on line 7a of the Form 55002014-10-011,312
Total of all active and inactive participants2014-10-011,312
Total participants2014-10-011,312
2013: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-011,278
Total number of active participants reported on line 7a of the Form 55002013-10-011,240
Total of all active and inactive participants2013-10-011,240
Total participants2013-10-011,240
2012: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01644
Total number of active participants reported on line 7a of the Form 55002012-10-01625
Total of all active and inactive participants2012-10-01625
Total participants2012-10-01625
2011: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01630
Total number of active participants reported on line 7a of the Form 55002011-10-01644
Total of all active and inactive participants2011-10-01644
Total participants2011-10-01644
2009: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01451
Total number of active participants reported on line 7a of the Form 55002009-10-01643
Total of all active and inactive participants2009-10-01643
Total participants2009-10-01643
2008: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2008 401k membership
Total participants, beginning-of-year2008-10-01446
Total number of active participants reported on line 7a of the Form 55002008-10-01451
Total of all active and inactive participants2008-10-01451
Total participants2008-10-01451

Form 5500 Responses for HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN

2022: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 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 funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 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 funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 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 funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 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 funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 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 funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – General assets of the sponsorYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – General assets of the sponsorYes
2014: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – General assets of the sponsorYes
2013: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – General assets of the sponsorYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – General assets of the sponsorYes
2012: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – General assets of the sponsorYes
2012-10-01Plan benefit arrangement – General assets of the sponsorYes
2011: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedYes
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – General assets of the sponsorYes
2011-10-01Plan benefit arrangement – General assets of the sponsorYes
2009: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2008: HARRINGTON MEMORIAL HOSPITAL TUFTS HEALTH PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingYes
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo
2008-10-01Plan funding arrangement – InsuranceYes
2008-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01251-21
Policy instance 1
Insurance contract or identification numberLGS01251-21
Number of Individuals Covered718
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $181,709
Total amount of fees paid to insurance companyUSD $12,106
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $1,211,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $181,709
Amount paid for insurance broker fees12106
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01251-20
Policy instance 1
Insurance contract or identification numberLGS01251-20
Number of Individuals Covered690
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $129,376
Total amount of fees paid to insurance companyUSD $34,500
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $862,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $129,376
Amount paid for insurance broker fees34500
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01251-19
Policy instance 1
Insurance contract or identification numberLGS01251-19
Number of Individuals Covered696
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $118,939
Total amount of fees paid to insurance companyUSD $31,717
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $792,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $118,939
Amount paid for insurance broker fees31717
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01251-15
Policy instance 1
Insurance contract or identification numberLGS01251-15
Number of Individuals Covered697
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $110,715
Total amount of fees paid to insurance companyUSD $28,894
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $738,103
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $110,715
Amount paid for insurance broker fees28894
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01251-15
Policy instance 1
Insurance contract or identification numberLGS01251-15
Number of Individuals Covered701
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $93,679
Total amount of fees paid to insurance companyUSD $24,975
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $624,371
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $93,680
Amount paid for insurance broker fees24975
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3

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