BLUE MOUNTAIN HEALTH SYSTEM has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL
401k plan membership statisitcs for BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL
| Measure | Date | Value |
|---|
| 2015: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-07-01 | 855 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 803 |
| Number of retired or separated participants receiving benefits | 2015-07-01 | 60 |
| Number of other retired or separated participants entitled to future benefits | 2015-07-01 | 2 |
| Total of all active and inactive participants | 2015-07-01 | 865 |
| 2014: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-07-01 | 841 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 794 |
| Number of retired or separated participants receiving benefits | 2014-07-01 | 61 |
| Total of all active and inactive participants | 2014-07-01 | 855 |
| 2013: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-07-01 | 934 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 841 |
| Total of all active and inactive participants | 2013-07-01 | 841 |
| 2012: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-07-01 | 930 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 883 |
| Number of retired or separated participants receiving benefits | 2012-07-01 | 51 |
| Total of all active and inactive participants | 2012-07-01 | 934 |
| 2011: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-10-01 | 846 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 887 |
| Number of retired or separated participants receiving benefits | 2011-10-01 | 43 |
| Total of all active and inactive participants | 2011-10-01 | 930 |
| 2010: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-10-01 | 917 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-10-01 | 846 |
| Number of retired or separated participants receiving benefits | 2010-10-01 | 40 |
| Number of other retired or separated participants entitled to future benefits | 2010-10-01 | 40 |
| Total of all active and inactive participants | 2010-10-01 | 926 |
| 2009: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-10-01 | 890 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 845 |
| Number of retired or separated participants receiving benefits | 2009-10-01 | 36 |
| Number of other retired or separated participants entitled to future benefits | 2009-10-01 | 36 |
| Total of all active and inactive participants | 2009-10-01 | 917 |
| 2015: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2015 form 5500 responses |
|---|
| 2015-07-01 | Type of plan entity | Single employer plan |
| 2015-07-01 | Plan funding arrangement – Insurance | Yes |
| 2015-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2014 form 5500 responses |
|---|
| 2014-07-01 | Type of plan entity | Single employer plan |
| 2014-07-01 | Plan funding arrangement – Insurance | Yes |
| 2014-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2013 form 5500 responses |
|---|
| 2013-07-01 | Type of plan entity | Single employer plan |
| 2013-07-01 | Plan funding arrangement – Insurance | Yes |
| 2013-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2012 form 5500 responses |
|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2011 form 5500 responses |
|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2010 form 5500 responses |
|---|
| 2010-10-01 | Type of plan entity | Single employer plan |
| 2010-10-01 | Plan funding arrangement – Insurance | Yes |
| 2010-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2009 form 5500 responses |
|---|
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | This submission is the final filing | No |
| 2009-10-01 | Plan funding arrangement – Insurance | Yes |
| 2009-10-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 875064G |
| Policy instance | 1 |
| Insurance contract or identification number | 875064G | | Number of Individuals Covered | 1016 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $9,369 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $173,213 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,045 | | Insurance broker organization code? | 3 | | Insurance broker name | DIGITAL INSURANCE INC |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0473508 |
| Policy instance | 1 |
| Insurance contract or identification number | 0473508 | | Number of Individuals Covered | 855 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $16,243 | | Total amount of fees paid to insurance company | USD $703 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $119,220 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,243 | | Amount paid for insurance broker fees | 703 | | Additional information about fees paid to insurance broker | 2013/2014 MM P3 BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | NICHOLAS F. CASTELLANO |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | MG17725 |
| Policy instance | 1 |
| Insurance contract or identification number | MG17725 | | Number of Individuals Covered | 862 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2013-11-30 | | Total amount of commissions paid to insurance broker | USD $2,735 | | Total amount of fees paid to insurance company | USD $2,324 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $25,730 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,735 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 2324 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker name | AMERIHEALTH AGENCY, INC. |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 0473508-SHORT |
| Policy instance | 2 |
| Insurance contract or identification number | 0473508-SHORT | | Number of Individuals Covered | 841 | | Insurance policy start date | 2013-12-01 | | Insurance policy end date | 2014-06-03 | | Total amount of commissions paid to insurance broker | USD $8,426 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $65,488 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,426 | | Insurance broker name | NICHOLAS F. CASTELLANO |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | MG17725 |
| Policy instance | 1 |
| Insurance contract or identification number | MG17725 | | Number of Individuals Covered | 950 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $13,748 | | Total amount of fees paid to insurance company | USD $11,958 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $116,403 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,748 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 11958 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker name | AMERIHEALTH AGENCY, INC. |
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| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | MG17725-0 |
| Policy instance | 1 |
| Insurance contract or identification number | MG17725-0 | | Number of Individuals Covered | 925 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $8,313 | | Total amount of fees paid to insurance company | USD $7,521 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $68,576 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
| Policy contract number | MG17725-0 |
| Policy instance | 1 |
| Insurance contract or identification number | MG17725-0 | | Number of Individuals Covered | 846 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $12,236 | | Total amount of fees paid to insurance company | USD $10,977 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $92,106 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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