401k Plan data: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN plan

FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 401k Plan overview

Plan Name	FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN
Plan identification number	503

FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

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 FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2022-01-01
503 2021-01-01
503 2020-01-01
503 2019-01-01
503 2018-01-01 MICHELE CUSACK
503 2017-01-01 MICHELE CUSACK
503 2016-01-01 ROBERT SHAPIRO

Plan Statistics for FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN

401k plan membership statisitcs for FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN

Measure Date Value
2022: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 220
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 220
2021: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 222
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 218
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 219
2020: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 201
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 221
Number of retired or separated participants receiving benefits 2020-01-01 1
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 222
2019: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 186
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 201
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 201
2018: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 184
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 186
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 186
2017: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 189
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 184
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 184
2016: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 176
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 189
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 189

Measure	Date	Value
2022: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	220
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	220
2021: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	222
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	218
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	219
2020: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	201
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	221
Number of retired or separated participants receiving benefits	2020-01-01	1
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	222
2019: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	201
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	201
2018: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	184
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	186
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	186
2017: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	189
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	184
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	184
2016: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	176
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	189
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	189

Form 5500 Responses for FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN

2022: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
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 – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH 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 – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

FRANKLIN GENERAL HOSPITAL BLUE CROSS BLUE SHIELD HEALTH PLAN [EIN = 112296824]

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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