401k Plan data: NORTHWELL HEALTH 403(B) PLAN plan

NORTHWELL HEALTH 403(B) PLAN 401k Plan overview

Plan Name	NORTHWELL HEALTH 403(B) PLAN
Plan identification number	003

NORTHWELL HEALTH 403(B) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

LONG ISLAND JEWISH MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: LONG ISLAND JEWISH MEDICAL CENTER

Employer identification number (EIN): 112241326

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about LONG ISLAND JEWISH MEDICAL CENTER

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1949-10-20

Company Identification Number: 73846

Legal Registered Office Address: ATTN: OFFICE OF LEGAL AFFAIRS
270-05 76TH AVENUE
NEW HYDE PARK
United States of America (USA)
11040

More information about LONG ISLAND JEWISH MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHWELL HEALTH 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2017-01-01 MICHELE CUSACK
003 2017-01-01 MICHELE CUSACK
003 2016-01-01 ROBERT SHAPIRO
003 2015-01-01 ROBERT SHAPIRO
003 2014-01-01 ROBERT SHAPIRO
003 2013-01-01 ROBERT SHAPIRO
003 2012-01-01 ROBERT SHAPIRO
003 2011-01-01 ROBERT SHAPIRO
003 2009-01-01 ROBERT SHAPIRO
003 2009-01-01 ROBERT SHAPIRO

Plan id#	Filing Submission Date	Name of Administrator
003	2017-01-01	MICHELE CUSACK
003	2017-01-01	MICHELE CUSACK
003	2016-01-01	ROBERT SHAPIRO
003	2015-01-01	ROBERT SHAPIRO
003	2014-01-01	ROBERT SHAPIRO
003	2013-01-01	ROBERT SHAPIRO
003	2012-01-01	ROBERT SHAPIRO
003	2011-01-01	ROBERT SHAPIRO
003	2009-01-01	ROBERT SHAPIRO
003	2009-01-01	ROBERT SHAPIRO

Plan Statistics for NORTHWELL HEALTH 403(B) PLAN

401k plan membership statisitcs for NORTHWELL HEALTH 403(B) PLAN

Measure Date Value
2017: NORTHWELL HEALTH 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 51,645
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 44,288
Number of retired or separated participants receiving benefits 2017-01-01 892
Number of other retired or separated participants entitled to future benefits 2017-01-01 10,044
Total of all active and inactive participants 2017-01-01 55,224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 166
Total participants 2017-01-01 55,390
Number of participants with account balances 2017-01-01 55,390
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 1,320
2016: NORTHWELL HEALTH 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 58,039
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 41,866
Number of retired or separated participants receiving benefits 2016-01-01 771
Number of other retired or separated participants entitled to future benefits 2016-01-01 8,858
Total of all active and inactive participants 2016-01-01 51,495
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 150
Total participants 2016-01-01 51,645
Number of participants with account balances 2016-01-01 51,645
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1,219
2015: NORTHWELL HEALTH 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 60,571
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 48,316
Number of retired or separated participants receiving benefits 2015-01-01 725
Number of other retired or separated participants entitled to future benefits 2015-01-01 8,869
Total of all active and inactive participants 2015-01-01 57,910
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 129
Total participants 2015-01-01 58,039
Number of participants with account balances 2015-01-01 47,233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1,105
2014: NORTHWELL HEALTH 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 47,347
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 53,018
Number of retired or separated participants receiving benefits 2014-01-01 411
Number of other retired or separated participants entitled to future benefits 2014-01-01 7,030
Total of all active and inactive participants 2014-01-01 60,459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 112
Total participants 2014-01-01 60,571
Number of participants with account balances 2014-01-01 43,325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 976
2013: NORTHWELL HEALTH 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 32,613
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 41,555
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 5,750
Total of all active and inactive participants 2013-01-01 47,305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 42
Total participants 2013-01-01 47,347
Number of participants with account balances 2013-01-01 35,888
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 765
2012: NORTHWELL HEALTH 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 38,501
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 39,366
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 5,226
Total of all active and inactive participants 2012-01-01 44,592
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 32
Total participants 2012-01-01 44,624
Number of participants with account balances 2012-01-01 32,613
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 523
2011: NORTHWELL HEALTH 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 26,173
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 33,864
Number of retired or separated participants receiving benefits 2011-01-01 34
Number of other retired or separated participants entitled to future benefits 2011-01-01 4,631
Total of all active and inactive participants 2011-01-01 38,529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 28
Total participants 2011-01-01 38,557
Number of participants with account balances 2011-01-01 28,004
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 633
2009: NORTHWELL HEALTH 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 23,786
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 26,916
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 4,849
Total of all active and inactive participants 2009-01-01 31,765
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 22
Total participants 2009-01-01 31,787
Number of participants with account balances 2009-01-01 25,338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 196

Measure	Date	Value
2017: NORTHWELL HEALTH 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	51,645
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	44,288
Number of retired or separated participants receiving benefits	2017-01-01	892
Number of other retired or separated participants entitled to future benefits	2017-01-01	10,044
Total of all active and inactive participants	2017-01-01	55,224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	166
Total participants	2017-01-01	55,390
Number of participants with account balances	2017-01-01	55,390
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	1,320
2016: NORTHWELL HEALTH 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	58,039
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	41,866
Number of retired or separated participants receiving benefits	2016-01-01	771
Number of other retired or separated participants entitled to future benefits	2016-01-01	8,858
Total of all active and inactive participants	2016-01-01	51,495
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	150
Total participants	2016-01-01	51,645
Number of participants with account balances	2016-01-01	51,645
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1,219
2015: NORTHWELL HEALTH 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	60,571
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	48,316
Number of retired or separated participants receiving benefits	2015-01-01	725
Number of other retired or separated participants entitled to future benefits	2015-01-01	8,869
Total of all active and inactive participants	2015-01-01	57,910
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	129
Total participants	2015-01-01	58,039
Number of participants with account balances	2015-01-01	47,233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1,105
2014: NORTHWELL HEALTH 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	47,347
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	53,018
Number of retired or separated participants receiving benefits	2014-01-01	411
Number of other retired or separated participants entitled to future benefits	2014-01-01	7,030
Total of all active and inactive participants	2014-01-01	60,459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	112
Total participants	2014-01-01	60,571
Number of participants with account balances	2014-01-01	43,325
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	976
2013: NORTHWELL HEALTH 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	32,613
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	41,555
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	5,750
Total of all active and inactive participants	2013-01-01	47,305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	42
Total participants	2013-01-01	47,347
Number of participants with account balances	2013-01-01	35,888
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	765
2012: NORTHWELL HEALTH 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	38,501
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	39,366
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	5,226
Total of all active and inactive participants	2012-01-01	44,592
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	32
Total participants	2012-01-01	44,624
Number of participants with account balances	2012-01-01	32,613
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	523
2011: NORTHWELL HEALTH 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	26,173
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	33,864
Number of retired or separated participants receiving benefits	2011-01-01	34
Number of other retired or separated participants entitled to future benefits	2011-01-01	4,631
Total of all active and inactive participants	2011-01-01	38,529
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	28
Total participants	2011-01-01	38,557
Number of participants with account balances	2011-01-01	28,004
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	633
2009: NORTHWELL HEALTH 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	23,786
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	26,916
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	4,849
Total of all active and inactive participants	2009-01-01	31,765
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	22
Total participants	2009-01-01	31,787
Number of participants with account balances	2009-01-01	25,338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	196

Financial Data on NORTHWELL HEALTH 403(B) PLAN

Measure	Date	Value
2017 : NORTHWELL HEALTH 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,241,985,493
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$204,322,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$192,568,731
Expenses. Certain deemed distributions of participant loans	2017-12-31	$6,492,181
Value of total corrective distributions	2017-12-31	$128,866
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$518,814,922
Value of total assets at end of year	2017-12-31	$5,582,471,582
Value of total assets at beginning of year	2017-12-31	$4,544,808,799
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$5,132,932
Total interest from all sources	2017-12-31	$3,487,097
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$67,528,505
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$67,528,505
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$40,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$306,070,700
Participant contributions at end of year	2017-12-31	$87,077,163
Participant contributions at beginning of year	2017-12-31	$79,345,531
Assets. Other investments not covered elsewhere at end of year	2017-12-31	$11,717,728
Assets. Other investments not covered elsewhere at beginning of year	2017-12-31	$12,783,889
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$70,382,996
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$21,026,293
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$18,637,890
Other income not declared elsewhere	2017-12-31	$2,580,511
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,037,662,783
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,582,471,582
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,544,808,799
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$234,898
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$4,497,613,318
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$3,513,959,578
Value of interest in pooled separate accounts at end of year	2017-12-31	$6,133,580
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$5,596,125
Interest on participant loans	2017-12-31	$3,389,485
Interest earned on other investments	2017-12-31	$96,505
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$1,985,681
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$2,430,693
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$2,430,693
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$1,107
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$956,917,819
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$912,055,093
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$625,410,698
Net investment gain/loss from pooled separate accounts	2017-12-31	$24,163,760
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$142,361,226
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$192,568,731
Contract administrator fees	2017-12-31	$4,898,034
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	ERNST & YOUNG, LLP
Accountancy firm EIN	2017-12-31	346565596
2016 : NORTHWELL HEALTH 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$756,223,941
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$199,514,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$189,175,308
Expenses. Certain deemed distributions of participant loans	2016-12-31	$6,373,914
Value of total corrective distributions	2016-12-31	$21,171
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$442,586,032
Value of total assets at end of year	2016-12-31	$4,544,808,799
Value of total assets at beginning of year	2016-12-31	$3,988,098,878
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$3,943,627
Total interest from all sources	2016-12-31	$3,716,365
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$53,196,642
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$53,196,642
Administrative expenses professional fees incurred	2016-12-31	$59,945
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$40,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$274,761,382
Participant contributions at end of year	2016-12-31	$79,345,531
Participant contributions at beginning of year	2016-12-31	$76,938,654
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$12,783,889
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$7,891,473
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$40,819,335
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$18,637,890
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$12,195,148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$556,709,921
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,544,808,799
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$3,988,098,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$219,709
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$3,513,959,578
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$3,035,079,621
Value of interest in pooled separate accounts at end of year	2016-12-31	$5,596,125
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$10,893,962
Interest on participant loans	2016-12-31	$3,091,014
Interest earned on other investments	2016-12-31	$625,351
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$2,430,693
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$1,400,843
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$1,400,843
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$912,055,093
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$843,699,177
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$234,113,064
Net investment gain/loss from pooled separate accounts	2016-12-31	$22,611,838
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$127,005,315
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$189,175,308
Contract administrator fees	2016-12-31	$3,663,973
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	ERNST & YOUNG, LLP
Accountancy firm EIN	2016-12-31	346565596
2015 : NORTHWELL HEALTH 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$407,546,836
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$207,978,149
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$204,267,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$381,570,967
Value of total assets at end of year	2015-12-31	$3,988,098,878
Value of total assets at beginning of year	2015-12-31	$3,788,530,191
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$3,710,473
Total interest from all sources	2015-12-31	$3,001,987
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$34,875,016
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$34,875,016
Administrative expenses professional fees incurred	2015-12-31	$35,000
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$40,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$242,026,907
Participant contributions at end of year	2015-12-31	$76,938,654
Participant contributions at beginning of year	2015-12-31	$72,635,881
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$7,891,473
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$8,563,719
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$27,644,183
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$12,195,148
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$14,343,981
Administrative expenses (other) incurred	2015-12-31	$34,616
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$199,568,687
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$3,988,098,878
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$3,788,530,191
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$156,582
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$3,035,079,621
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,851,285,091
Value of interest in pooled separate accounts at end of year	2015-12-31	$10,893,962
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$11,268,711
Interest on participant loans	2015-12-31	$2,890,251
Interest earned on other investments	2015-12-31	$111,684
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$1,400,843
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$41,029,637
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$41,029,637
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$52
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$843,699,177
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$789,403,171
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-27,364,923
Net investment gain/loss from pooled separate accounts	2015-12-31	$15,463,789
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$111,899,877
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$204,267,676
Contract administrator fees	2015-12-31	$3,484,275
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	ERNST & YOUNG, LLP
Accountancy firm EIN	2015-12-31	346565596
2014 : NORTHWELL HEALTH 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$159,423,383
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$585,937,047
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$229,844,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$226,435,465
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$368,788,054
Value of total assets at end of year	2014-12-31	$3,788,530,191
Value of total assets at beginning of year	2014-12-31	$3,273,014,574
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,409,348
Total interest from all sources	2014-12-31	$60,879,693
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$40,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$223,805,315
Participant contributions at end of year	2014-12-31	$72,635,881
Participant contributions at beginning of year	2014-12-31	$67,044,356
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$8,563,719
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$92,073,549
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$35,316,209
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$14,343,981
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$7,041,564
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$356,092,234
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$3,788,530,191
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,273,014,574
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$3,409,348
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$2,851,285,091
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,370,912,202
Value of interest in pooled separate accounts at end of year	2014-12-31	$11,268,711
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$8,086,051
Interest on participant loans	2014-12-31	$2,581,068
Interest earned on other investments	2014-12-31	$58,298,625
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$41,029,637
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$693,207
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$693,207
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$789,403,171
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$727,163,645
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$135,649,076
Net investment gain/loss from pooled separate accounts	2014-12-31	$20,620,224
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$109,666,530
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$226,435,465
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	ERNST & YOUNG, LLP
Accountancy firm EIN	2014-12-31	346565596
2013 : NORTHWELL HEALTH 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$388,364,087
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$699,429,702
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$107,872,491
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$105,555,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$284,468,644
Value of total assets at end of year	2013-12-31	$3,273,014,574
Value of total assets at beginning of year	2013-12-31	$2,293,093,276
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,316,849
Total interest from all sources	2013-12-31	$24,404,040
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$40,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$180,509,355
Participant contributions at end of year	2013-12-31	$67,044,356
Participant contributions at beginning of year	2013-12-31	$53,429,480
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$92,655,467
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$14,875,468
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$7,041,564
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$6,035,772
Other income not declared elsewhere	2013-12-31	$42,994,386
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$591,557,211
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$3,273,014,574
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$2,293,093,276
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$2,316,849
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$2,370,912,202
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$1,532,048,479
Value of interest in pooled separate accounts at end of year	2013-12-31	$8,086,051
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$5,757,420
Interest on participant loans	2013-12-31	$2,235,533
Interest earned on other investments	2013-12-31	$22,168,507
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$693,207
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$119,308
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$119,308
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$726,581,727
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$695,702,817
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$348,609,792
Net investment gain/loss from pooled separate accounts	2013-12-31	$-1,047,160
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$89,083,821
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$105,555,642
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	ERNST & YOUNG, LLP
Accountancy firm EIN	2013-12-31	346565596
2012 : NORTHWELL HEALTH 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$483,045,880
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$82,386,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$80,369,702
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$268,658,840
Value of total assets at end of year	2012-12-31	$2,293,093,276
Value of total assets at beginning of year	2012-12-31	$1,892,434,323
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$2,017,225
Total interest from all sources	2012-12-31	$2,111,422
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$40,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$163,727,142
Participant contributions at end of year	2012-12-31	$53,429,480
Participant contributions at beginning of year	2012-12-31	$50,029,459
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$23,829,786
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$6,035,772
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$8,065,189
Other income not declared elsewhere	2012-12-31	$57,897,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$400,658,953
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$2,293,093,276
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,892,434,323
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$2,017,225
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$1,532,048,479
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$1,185,385,962
Value of interest in pooled separate accounts at end of year	2012-12-31	$5,757,420
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$5,772,639
Interest on participant loans	2012-12-31	$2,111,422
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$119,308
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$336,918
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$336,918
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$695,702,817
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$642,844,156
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$154,362,535
Net investment gain/loss from pooled separate accounts	2012-12-31	$15,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$81,101,912
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$80,369,702
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	ERNST & YOUNG, LLP
Accountancy firm EIN	2012-12-31	346565596
2011 : NORTHWELL HEALTH 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$220,879,822
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$78,635,861
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$76,860,755
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$215,169,460
Value of total assets at end of year	2011-12-31	$1,892,434,323
Value of total assets at beginning of year	2011-12-31	$1,750,190,362
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,775,106
Total interest from all sources	2011-12-31	$2,099,430
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$40,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$140,222,257
Participant contributions at end of year	2011-12-31	$50,029,459
Participant contributions at beginning of year	2011-12-31	$46,071,784
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$5,532,295
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$8,065,189
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$3,164,703
Other income not declared elsewhere	2011-12-31	$35,572,133
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$142,243,961
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,892,434,323
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,750,190,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$188,472
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$1,185,385,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$1,102,320,943
Value of interest in pooled separate accounts at end of year	2011-12-31	$5,772,639
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$5,885,483
Income. Interest from loans (other than to participants)	2011-12-31	$2,099,430
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$336,918
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,078,096
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,078,096
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$642,844,156
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$591,669,353
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-38,599,864
Net investment gain/loss from pooled separate accounts	2011-12-31	$6,638,663
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$69,414,908
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$76,860,755
Contract administrator fees	2011-12-31	$1,586,634
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	ERNST & YOUNG, LLP
Accountancy firm EIN	2011-12-31	346565596
2010 : NORTHWELL HEALTH 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$344,700,549
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$65,777,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$64,201,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$191,969,252
Value of total assets at end of year	2010-12-31	$1,750,190,362
Value of total assets at beginning of year	2010-12-31	$1,471,267,588
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,576,437
Total interest from all sources	2010-12-31	$2,075,465
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$40,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$124,437,081
Participant contributions at end of year	2010-12-31	$46,071,784
Participant contributions at beginning of year	2010-12-31	$36,472,624
Income. Received or receivable in cash from other sources (including rollovers)	2010-12-31	$5,113,900
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$3,164,703
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$2,703,231
Other income not declared elsewhere	2010-12-31	$36,314,796
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$278,922,774
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,750,190,362
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,471,267,588
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$1,576,437
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$1,102,320,943
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$862,893,531
Value of interest in pooled separate accounts at end of year	2010-12-31	$5,885,483
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$5,789,958
Interest on participant loans	2010-12-31	$2,075,465
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,078,096
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$911,488
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$911,488
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$591,669,353
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$562,496,756
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$114,011,235
Net investment gain/loss from pooled separate accounts	2010-12-31	$329,801
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$62,418,271
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$64,201,338
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	ERNST & YOUNG, LLP
Accountancy firm EIN	2010-12-31	346565596
2009 : NORTHWELL HEALTH 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for NORTHWELL HEALTH 403(B) PLAN

2017: NORTHWELL HEALTH 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
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: NORTHWELL HEALTH 403(B) PLAN 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: NORTHWELL HEALTH 403(B) PLAN 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: NORTHWELL HEALTH 403(B) PLAN 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 – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: NORTHWELL HEALTH 403(B) PLAN 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 – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: NORTHWELL HEALTH 403(B) PLAN 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: NORTHWELL HEALTH 403(B) PLAN 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: NORTHWELL HEALTH 403(B) PLAN 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 – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )

Policy contract number

L785E026

Policy instance

Insurance contract or identification number	L785E026
Number of Individuals Covered	3
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $8
Total amount of fees paid to insurance company	USD $0
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	AGENT/BROKER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	HEALTHCARE COMM SECURITIES CORP.

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

1664A

Policy instance

Insurance contract or identification number	1664A
Number of Individuals Covered	328
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

2082A

Policy instance

Insurance contract or identification number	2082A
Number of Individuals Covered	143
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

093455-030

Policy instance

Insurance contract or identification number	093455-030
Number of Individuals Covered	83
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

006945

Policy instance

Insurance contract or identification number	006945
Number of Individuals Covered	518
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

L755E026

Policy instance

Insurance contract or identification number	L755E026
Number of Individuals Covered	154
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $20,100
Total amount of fees paid to insurance company	USD $0
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,100
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	AGENT/BROKER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	HEALTHCARE COMM SECURITIES CORP.

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

32979

Policy instance

Insurance contract or identification number	32979
Number of Individuals Covered	55390
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

006945

Policy instance

Insurance contract or identification number	006945
Number of Individuals Covered	575
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

L755E026

Policy instance

Insurance contract or identification number	L755E026
Number of Individuals Covered	164
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,335
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,335
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	AGENT/BROKER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	HEALTHCARE COMM SECURITIES CORP.

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

L755E004

Policy instance

Insurance contract or identification number	L755E004
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

L785E004

Policy instance

Insurance contract or identification number	L785E004
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

FA065032

Policy instance

Insurance contract or identification number	FA065032
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

32979

Policy instance

Insurance contract or identification number	32979
Number of Individuals Covered	47233
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )

Policy contract number

L785E026

Policy instance

Insurance contract or identification number	L785E026
Number of Individuals Covered	5
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $8
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $8
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	AGENT/BROKER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	HEALTHCARE COMM SECURITIES CORP.

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1009557-02

Policy instance

Insurance contract or identification number	1009557-02
Number of Individuals Covered	158
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

093455-030

Policy instance

Insurance contract or identification number	093455-030
Number of Individuals Covered	90
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

2082A

Policy instance

Insurance contract or identification number	2082A
Number of Individuals Covered	151
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

1664A

Policy instance

Insurance contract or identification number	1664A
Number of Individuals Covered	348
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

1664A

Policy instance

Insurance contract or identification number	1664A
Number of Individuals Covered	360
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1009557-02

Policy instance

Insurance contract or identification number	1009557-02
Number of Individuals Covered	43325
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $400,878
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $400,878
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	AGENT/BROKER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES, INC.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

093455-030

Policy instance

Insurance contract or identification number	093455-030
Number of Individuals Covered	93
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

006945

Policy instance

Insurance contract or identification number	006945
Number of Individuals Covered	60571
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

L755E026

Policy instance

Insurance contract or identification number	L755E026
Number of Individuals Covered	263
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

L755E004

Policy instance

Insurance contract or identification number	L755E004
Number of Individuals Covered	50
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

L785E004

Policy instance

Insurance contract or identification number	L785E004
Number of Individuals Covered	1
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

FA065032

Policy instance

Insurance contract or identification number	FA065032
Number of Individuals Covered	24
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

TA080515

Policy instance

Insurance contract or identification number	TA080515
Number of Individuals Covered	721
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

2082A

Policy instance

Insurance contract or identification number	2082A
Number of Individuals Covered	163
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Are there contracts with allocated funds for individual policies?	No
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1009557-02

Policy instance

Insurance contract or identification number	1009557-02
Number of Individuals Covered	13604
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $734
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $734
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	AGENT/BROKER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES, INC.

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

1664A

Policy instance

Insurance contract or identification number	1664A
Number of Individuals Covered	375
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

1664A

Policy instance

Insurance contract or identification number	1664A
Number of Individuals Covered	385
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1009557-02

Policy instance

Insurance contract or identification number	1009557-02
Number of Individuals Covered	32613
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

1664A

Policy instance

Insurance contract or identification number	1664A
Number of Individuals Covered	386
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1009557-02

Policy instance

Insurance contract or identification number	1009557-02
Number of Individuals Covered	28004
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN AMERICA/CAL FARM (National Association of Insurance Commissioners NAIC id number: 60941 )

Policy contract number

1664A

Policy instance

Insurance contract or identification number	1664A
Number of Individuals Covered	393
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

1009557-02

Policy instance

Insurance contract or identification number	1009557-02
Number of Individuals Covered	26173
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

002987

Policy instance

Insurance contract or identification number	002987
Number of Individuals Covered	0
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Are there contracts with allocated funds for individual policies?	No
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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	LONG ISLAND JEWISH MEDICAL CENTER
Employer identification number (EIN):	112241326
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1949-10-20
Company Identification Number:	73846
Legal Registered Office Address:	ATTN: OFFICE OF LEGAL AFFAIRS 270-05 76TH AVENUE NEW HYDE PARK United States of America (USA) 11040