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NORTHERN HEALTH PLAN 401k Plan overview

Plan NameNORTHERN HEALTH PLAN
Plan identification number 501

NORTHERN HEALTH PLAN Benefits

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

401k Sponsoring company profile

NORTHERN METROPOLITAN INC. has sponsored the creation of one or more 401k plans.

Company Name:NORTHERN METROPOLITAN INC.
Employer identification number (EIN):133070759
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01
5012020-10-01
5012019-10-01
5012018-10-01
5012017-10-01
5012016-10-01IZZY WOLFF
5012015-10-01IZZY WOLFF
5012014-10-01IZZY WOLFF
5012013-10-01IZZY WOLFF
5012013-05-01MARK BLOOM

Plan Statistics for NORTHERN HEALTH PLAN

401k plan membership statisitcs for NORTHERN HEALTH PLAN

Measure Date Value
2021: NORTHERN HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-0136
Total number of active participants reported on line 7a of the Form 55002021-10-0140
Total of all active and inactive participants2021-10-0140
Total participants2021-10-0140
2020: NORTHERN HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-0149
Total number of active participants reported on line 7a of the Form 55002020-10-0135
Number of retired or separated participants receiving benefits2020-10-011
Total of all active and inactive participants2020-10-0136
Total participants2020-10-0136
2019: NORTHERN HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-0162
Total number of active participants reported on line 7a of the Form 55002019-10-0149
Total of all active and inactive participants2019-10-0149
Total participants2019-10-0149
2018: NORTHERN HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-0153
Total number of active participants reported on line 7a of the Form 55002018-10-0159
Number of retired or separated participants receiving benefits2018-10-013
Total of all active and inactive participants2018-10-0162
Total participants2018-10-0162
2017: NORTHERN HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-0156
Total number of active participants reported on line 7a of the Form 55002017-10-0153
Number of retired or separated participants receiving benefits2017-10-012
Total of all active and inactive participants2017-10-0155
Total participants2017-10-0155
2016: NORTHERN HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-0152
Total number of active participants reported on line 7a of the Form 55002016-10-0156
Total of all active and inactive participants2016-10-0156
Total participants2016-10-0156
2015: NORTHERN HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-0156
Total number of active participants reported on line 7a of the Form 55002015-10-0152
Number of retired or separated participants receiving benefits2015-10-011
Total of all active and inactive participants2015-10-0153
Total participants2015-10-010
2014: NORTHERN HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-0156
Total number of active participants reported on line 7a of the Form 55002014-10-0156
Total of all active and inactive participants2014-10-0156
Total participants2014-10-010
2013: NORTHERN HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-0141
Total number of active participants reported on line 7a of the Form 55002013-10-0141
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-0141
Total participants, beginning-of-year2013-05-0141
Total number of active participants reported on line 7a of the Form 55002013-05-0141
Total of all active and inactive participants2013-05-0141
Total participants2013-05-0141
Number of employers contributing to the scheme2013-05-013

Financial Data on NORTHERN HEALTH PLAN

Measure Date Value
2022 : NORTHERN HEALTH PLAN 2022 401k financial data
Total plan liabilities at end of year2022-09-30$13,082
Total plan liabilities at beginning of year2022-09-30$42,940
Total income from all sources2022-09-30$208,589
Expenses. Total of all expenses incurred2022-09-30$178,489
Benefits paid (including direct rollovers)2022-09-30$165,337
Total plan assets at end of year2022-09-30$790,254
Total plan assets at beginning of year2022-09-30$790,012
Value of fidelity bond covering the plan2022-09-30$150,000
Total contributions received or receivable from participants2022-09-30$158,735
Expenses. Other expenses not covered elsewhere2022-09-30$13,152
Net income (gross income less expenses)2022-09-30$30,100
Net plan assets at end of year (total assets less liabilities)2022-09-30$777,172
Net plan assets at beginning of year (total assets less liabilities)2022-09-30$747,072
Total contributions received or receivable from employer(s)2022-09-30$49,854
2021 : NORTHERN HEALTH PLAN 2021 401k financial data
Total plan liabilities at end of year2021-09-30$42,940
Total plan liabilities at beginning of year2021-09-30$112,543
Total income from all sources2021-09-30$196,136
Expenses. Total of all expenses incurred2021-09-30$222,905
Benefits paid (including direct rollovers)2021-09-30$209,381
Total plan assets at end of year2021-09-30$790,012
Total plan assets at beginning of year2021-09-30$886,384
Value of fidelity bond covering the plan2021-09-30$150,000
Total contributions received or receivable from participants2021-09-30$118,388
Expenses. Other expenses not covered elsewhere2021-09-30$13,524
Net income (gross income less expenses)2021-09-30$-26,769
Net plan assets at end of year (total assets less liabilities)2021-09-30$747,072
Net plan assets at beginning of year (total assets less liabilities)2021-09-30$773,841
Total contributions received or receivable from employer(s)2021-09-30$77,748
2020 : NORTHERN HEALTH PLAN 2020 401k financial data
Total plan liabilities at end of year2020-09-30$112,543
Total plan liabilities at beginning of year2020-09-30$50,237
Total income from all sources2020-09-30$247,952
Expenses. Total of all expenses incurred2020-09-30$264,833
Benefits paid (including direct rollovers)2020-09-30$246,242
Total plan assets at end of year2020-09-30$886,384
Total plan assets at beginning of year2020-09-30$840,959
Value of fidelity bond covering the plan2020-09-30$150,000
Total contributions received or receivable from participants2020-09-30$115,140
Expenses. Other expenses not covered elsewhere2020-09-30$1,716
Net income (gross income less expenses)2020-09-30$-16,881
Net plan assets at end of year (total assets less liabilities)2020-09-30$773,841
Net plan assets at beginning of year (total assets less liabilities)2020-09-30$790,722
Total contributions received or receivable from employer(s)2020-09-30$132,812
Expenses. Administrative service providers (salaries,fees and commissions)2020-09-30$16,875
2019 : NORTHERN HEALTH PLAN 2019 401k financial data
Total plan liabilities at end of year2019-09-30$50,237
Total plan liabilities at beginning of year2019-09-30$42,543
Total income from all sources2019-09-30$345,745
Expenses. Total of all expenses incurred2019-09-30$263,289
Benefits paid (including direct rollovers)2019-09-30$243,002
Total plan assets at end of year2019-09-30$840,959
Total plan assets at beginning of year2019-09-30$750,809
Value of fidelity bond covering the plan2019-09-30$150,000
Total contributions received or receivable from participants2019-09-30$181,623
Expenses. Other expenses not covered elsewhere2019-09-30$1,881
Net income (gross income less expenses)2019-09-30$82,456
Net plan assets at end of year (total assets less liabilities)2019-09-30$790,722
Net plan assets at beginning of year (total assets less liabilities)2019-09-30$708,266
Total contributions received or receivable from employer(s)2019-09-30$164,122
Expenses. Administrative service providers (salaries,fees and commissions)2019-09-30$18,406
2017 : NORTHERN HEALTH PLAN 2017 401k financial data
Total plan liabilities at end of year2017-09-30$33,612
Total plan liabilities at beginning of year2017-09-30$72,467
Total income from all sources2017-09-30$195,055
Expenses. Total of all expenses incurred2017-09-30$259,801
Benefits paid (including direct rollovers)2017-09-30$240,711
Total plan assets at end of year2017-09-30$600,370
Total plan assets at beginning of year2017-09-30$703,971
Value of fidelity bond covering the plan2017-09-30$150,000
Total contributions received or receivable from participants2017-09-30$195,055
Expenses. Other expenses not covered elsewhere2017-09-30$19,090
Net income (gross income less expenses)2017-09-30$-64,746
Net plan assets at end of year (total assets less liabilities)2017-09-30$566,758
Net plan assets at beginning of year (total assets less liabilities)2017-09-30$631,504
2016 : NORTHERN HEALTH PLAN 2016 401k financial data
Total plan liabilities at end of year2016-09-30$72,467
Total plan liabilities at beginning of year2016-09-30$93,287
Total income from all sources2016-09-30$586,833
Expenses. Total of all expenses incurred2016-09-30$332,627
Benefits paid (including direct rollovers)2016-09-30$312,501
Total plan assets at end of year2016-09-30$703,971
Total plan assets at beginning of year2016-09-30$470,585
Value of fidelity bond covering the plan2016-09-30$150,000
Total contributions received or receivable from participants2016-09-30$336,432
Net income (gross income less expenses)2016-09-30$254,206
Net plan assets at end of year (total assets less liabilities)2016-09-30$631,504
Net plan assets at beginning of year (total assets less liabilities)2016-09-30$377,298
Total contributions received or receivable from employer(s)2016-09-30$250,401
Expenses. Administrative service providers (salaries,fees and commissions)2016-09-30$20,126
2015 : NORTHERN HEALTH PLAN 2015 401k financial data
Total plan liabilities at end of year2015-09-30$93,287
Total plan liabilities at beginning of year2015-09-30$24,121
Total income from all sources2015-09-30$385,633
Expenses. Total of all expenses incurred2015-09-30$269,712
Benefits paid (including direct rollovers)2015-09-30$239,437
Total plan assets at end of year2015-09-30$470,585
Total plan assets at beginning of year2015-09-30$285,498
Value of fidelity bond covering the plan2015-09-30$150,000
Total contributions received or receivable from participants2015-09-30$195,064
Expenses. Other expenses not covered elsewhere2015-09-30$30,275
Net income (gross income less expenses)2015-09-30$115,921
Net plan assets at end of year (total assets less liabilities)2015-09-30$377,298
Net plan assets at beginning of year (total assets less liabilities)2015-09-30$261,377
Total contributions received or receivable from employer(s)2015-09-30$190,569
2014 : NORTHERN HEALTH PLAN 2014 401k financial data
Total plan liabilities at end of year2014-09-30$24,121
Total plan liabilities at beginning of year2014-09-30$12,394
Total income from all sources2014-09-30$362,513
Expenses. Total of all expenses incurred2014-09-30$195,391
Benefits paid (including direct rollovers)2014-09-30$135,531
Total plan assets at end of year2014-09-30$285,498
Total plan assets at beginning of year2014-09-30$106,649
Value of fidelity bond covering the plan2014-09-30$150,000
Total contributions received or receivable from participants2014-09-30$289,652
Net income (gross income less expenses)2014-09-30$167,122
Net plan assets at end of year (total assets less liabilities)2014-09-30$261,377
Net plan assets at beginning of year (total assets less liabilities)2014-09-30$94,255
Total contributions received or receivable from employer(s)2014-09-30$72,861
Expenses. Administrative service providers (salaries,fees and commissions)2014-09-30$59,860
2013 : NORTHERN HEALTH PLAN 2013 401k financial data
Total plan liabilities at end of year2013-09-30$12,394
Total income from all sources2013-09-30$139,581
Expenses. Total of all expenses incurred2013-09-30$45,326
Benefits paid (including direct rollovers)2013-09-30$25,644
Total plan assets at end of year2013-09-30$106,649
Value of fidelity bond covering the plan2013-09-30$150,000
Total contributions received or receivable from participants2013-09-30$70,062
Expenses. Other expenses not covered elsewhere2013-09-30$9,380
Net income (gross income less expenses)2013-09-30$94,255
Net plan assets at end of year (total assets less liabilities)2013-09-30$94,255
Total contributions received or receivable from employer(s)2013-09-30$69,519
Expenses. Administrative service providers (salaries,fees and commissions)2013-09-30$10,302

Form 5500 Responses for NORTHERN HEALTH PLAN

2021: NORTHERN HEALTH PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement - TrustYes
2020: NORTHERN HEALTH PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement - TrustYes
2019: NORTHERN HEALTH PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement - TrustYes
2018: NORTHERN HEALTH PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement - TrustYes
2017: NORTHERN HEALTH PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: NORTHERN HEALTH PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: NORTHERN HEALTH PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: NORTHERN HEALTH PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: NORTHERN HEALTH PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan funding arrangement – General assets of the sponsorYes
2013-10-01Plan benefit arrangement - TrustYes
2013-10-01Plan benefit arrangement – General assets of the sponsorYes
2013-05-01Type of plan entitySingle employer plan
2013-05-01First time form 5500 has been submittedYes
2013-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number818374
Policy instance 1
Insurance contract or identification number818374
Number of Individuals Covered55
Insurance policy start date2017-10-01
Insurance policy end date2017-12-31
Welfare Benefit Premiums Paid to CarrierUSD $6,084
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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