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MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 401k Plan overview

Plan NameMASONIC HEALTH SYSTEM GROUP MEDICAL PLAN
Plan identification number 512

MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC.
Employer identification number (EIN):043515688
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5122023-09-01NICHOLAS PUGLIESE
5122022-09-01
5122022-09-01NICHOLAS PUGLIESE
5122021-09-01MIRIAM ECHEVARRIA2023-03-27
5122020-09-01MIRIAM ECHEVARRIA2022-02-10
5122020-09-01MIRIAM ECHEVARRIA2022-02-10
5122019-09-01JOE SAVIDGE2021-03-10
5122017-09-01
5122016-09-01
5122015-09-01KRISTEN MCISAAC
5122014-09-01PAM JONES
5122013-09-01PAMELA JONES
5122012-09-01DAVID TURNER
5122011-09-01DAVID TURNER
5122010-09-01DAVID TURNER DAVID TURNER2012-03-22
5122009-09-01DOROTHY DEARY

Plan Statistics for MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN

401k plan membership statisitcs for MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN

Measure Date Value
2022: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-09-01336
Total number of active participants reported on line 7a of the Form 55002022-09-01323
Number of retired or separated participants receiving benefits2022-09-011
Number of other retired or separated participants entitled to future benefits2022-09-010
Total of all active and inactive participants2022-09-01324
2021: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01379
Total number of active participants reported on line 7a of the Form 55002021-09-01330
Number of retired or separated participants receiving benefits2021-09-016
Number of other retired or separated participants entitled to future benefits2021-09-010
Total of all active and inactive participants2021-09-01336
2020: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01373
Total number of active participants reported on line 7a of the Form 55002020-09-01370
Number of retired or separated participants receiving benefits2020-09-019
Number of other retired or separated participants entitled to future benefits2020-09-010
Total of all active and inactive participants2020-09-01379
2019: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01394
Total number of active participants reported on line 7a of the Form 55002019-09-01366
Number of retired or separated participants receiving benefits2019-09-017
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01373
2017: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01323
Total number of active participants reported on line 7a of the Form 55002017-09-01361
Number of retired or separated participants receiving benefits2017-09-018
Number of other retired or separated participants entitled to future benefits2017-09-010
Total of all active and inactive participants2017-09-01369
2016: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01280
Total number of active participants reported on line 7a of the Form 55002016-09-01318
Number of retired or separated participants receiving benefits2016-09-015
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01323
2015: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01321
Total number of active participants reported on line 7a of the Form 55002015-09-01274
Number of retired or separated participants receiving benefits2015-09-016
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01280
2014: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01529
Total number of active participants reported on line 7a of the Form 55002014-09-01315
Number of retired or separated participants receiving benefits2014-09-016
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01321
2013: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01629
Total number of active participants reported on line 7a of the Form 55002013-09-01521
Number of retired or separated participants receiving benefits2013-09-018
Number of other retired or separated participants entitled to future benefits2013-09-010
Total of all active and inactive participants2013-09-01529
2012: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01629
Total number of active participants reported on line 7a of the Form 55002012-09-01606
Number of retired or separated participants receiving benefits2012-09-0123
Number of other retired or separated participants entitled to future benefits2012-09-010
Total of all active and inactive participants2012-09-01629
2011: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01595
Total number of active participants reported on line 7a of the Form 55002011-09-01615
Number of retired or separated participants receiving benefits2011-09-0114
Number of other retired or separated participants entitled to future benefits2011-09-010
Total of all active and inactive participants2011-09-01629
2010: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-09-01500
Total number of active participants reported on line 7a of the Form 55002010-09-01587
Number of retired or separated participants receiving benefits2010-09-018
Number of other retired or separated participants entitled to future benefits2010-09-010
Total of all active and inactive participants2010-09-01595
2009: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01448
Total number of active participants reported on line 7a of the Form 55002009-09-01493
Number of retired or separated participants receiving benefits2009-09-017
Number of other retired or separated participants entitled to future benefits2009-09-010
Total of all active and inactive participants2009-09-01500

Form 5500 Responses for MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN

2022: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2022 form 5500 responses
2022-09-01Type of plan entitySingle employer plan
2022-09-01Submission has been amendedNo
2022-09-01This submission is the final filingNo
2022-09-01This return/report is a short plan year return/report (less than 12 months)No
2022-09-01Plan is a collectively bargained planNo
2022-09-01Plan funding arrangement – InsuranceYes
2022-09-01Plan funding arrangement – General assets of the sponsorYes
2022-09-01Plan benefit arrangement – InsuranceYes
2022-09-01Plan benefit arrangement – General assets of the sponsorYes
2021: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Submission has been amendedNo
2021-09-01This submission is the final filingNo
2021-09-01This return/report is a short plan year return/report (less than 12 months)No
2021-09-01Plan is a collectively bargained planNo
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan funding arrangement – General assets of the sponsorYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement – General assets of the sponsorYes
2020: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Submission has been amendedNo
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planNo
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – General assets of the sponsorYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement – General assets of the sponsorYes
2019: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planNo
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – General assets of the sponsorYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – General assets of the sponsorYes
2017: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planNo
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – General assets of the sponsorYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – General assets of the sponsorYes
2016: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – General assets of the sponsorYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – General assets of the sponsorYes
2015: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – General assets of the sponsorYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – General assets of the sponsorYes
2014: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – General assets of the sponsorYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – General assets of the sponsorYes
2013: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – General assets of the sponsorYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – General assets of the sponsorYes
2012: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – General assets of the sponsorYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – General assets of the sponsorYes
2011: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – General assets of the sponsorYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – General assets of the sponsorYes
2010: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 2010 form 5500 responses
2010-09-01Type of plan entitySingle employer plan
2010-09-01Submission has been amendedNo
2010-09-01This submission is the final filingNo
2010-09-01This return/report is a short plan year return/report (less than 12 months)No
2010-09-01Plan is a collectively bargained planNo
2010-09-01Plan funding arrangement – InsuranceYes
2010-09-01Plan funding arrangement – General assets of the sponsorYes
2010-09-01Plan benefit arrangement – InsuranceYes
2010-09-01Plan benefit arrangement – General assets of the sponsorYes
2009: MASONIC HEALTH SYSTEM GROUP MEDICAL PLAN 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)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000345
Policy instance 5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 134065
Policy instance 4
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 166095
Policy instance 3
NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )
Policy contract numberN/A
Policy instance 2
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number51614
Policy instance 1
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number51614
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000345
Policy instance 3
NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )
Policy contract numberN/A
Policy instance 2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60265
Policy instance 1
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number51614
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000345
Policy instance 3
NEW DIRECTIONS BEHAVORIAL HEALTH (National Association of Insurance Commissioners NAIC id number: 00369 )
Policy contract numberN/A
Policy instance 2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60265
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000345
Policy instance 3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60265
Policy instance 2
BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )
Policy contract number51614
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30000345
Policy instance 3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number66599-1
Policy instance 2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60265
Policy instance 1

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