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POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 401k Plan overview

Plan NamePOCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN
Plan identification number 009

POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

LEHIGH VALLEY HEALTH NETWORK, INC. has sponsored the creation of one or more 401k plans.

Company Name:LEHIGH VALLEY HEALTH NETWORK, INC.
Employer identification number (EIN):222458317
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0092022-01-01
0092021-01-01
0092020-01-01
0092019-01-01
0092018-01-01

Plan Statistics for POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN

401k plan membership statisitcs for POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN

Measure Date Value
2022: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,615
Total number of active participants reported on line 7a of the Form 55002022-01-011,725
Number of retired or separated participants receiving benefits2022-01-0144
Number of other retired or separated participants entitled to future benefits2022-01-01577
Total of all active and inactive participants2022-01-012,346
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-012,346
Number of participants with account balances2022-01-011,259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,336
Total number of active participants reported on line 7a of the Form 55002021-01-011,656
Number of retired or separated participants receiving benefits2021-01-0152
Number of other retired or separated participants entitled to future benefits2021-01-01907
Total of all active and inactive participants2021-01-012,615
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-012,615
Number of participants with account balances2021-01-012,301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-013,626
Total number of active participants reported on line 7a of the Form 55002020-01-011,555
Number of retired or separated participants receiving benefits2020-01-0137
Number of other retired or separated participants entitled to future benefits2020-01-01742
Total of all active and inactive participants2020-01-012,334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-012
Total participants2020-01-012,336
Number of participants with account balances2020-01-012,214
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,561
Total number of active participants reported on line 7a of the Form 55002019-01-011,938
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01672
Total of all active and inactive participants2019-01-012,610
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-012,610
Number of participants with account balances2019-01-012,140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,442
Total number of active participants reported on line 7a of the Form 55002018-01-011,960
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01617
Total of all active and inactive participants2018-01-012,577
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-012,577
Number of participants with account balances2018-01-012,102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0153

Financial Data on POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN

Measure Date Value
2022 : POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2022 401k financial data
Total transfer of assets from this plan2022-12-31$49,054,720
Total income from all sources (including contributions)2022-12-31$-15,281,210
Total of all expenses incurred2022-12-31$8,715,302
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$8,623,653
Expenses. Certain deemed distributions of participant loans2022-12-31$2,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,350,913
Value of total assets at end of year2022-12-31$35,525,413
Value of total assets at beginning of year2022-12-31$108,576,645
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$89,002
Total interest from all sources2022-12-31$382,547
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,558,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,558,650
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$3,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,427,437
Participant contributions at end of year2022-12-31$276,772
Participant contributions at beginning of year2022-12-31$1,047,422
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$588,714
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-23,996,512
Value of net assets at end of year (total assets less liabilities)2022-12-31$35,525,413
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$108,576,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$26,417,353
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$87,148,381
Interest on participant loans2022-12-31$42,383
Interest earned on other investments2022-12-31$340,164
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$8,167,574
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$18,807,210
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-20,573,320
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,334,762
Employer contributions (assets) at end of year2022-12-31$663,714
Employer contributions (assets) at beginning of year2022-12-31$1,573,632
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$8,623,653
Contract administrator fees2022-12-31$89,002
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BAKER TILLY US, LLP
Accountancy firm EIN2022-12-31390850991
2021 : POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$21,623,272
Total of all expenses incurred2021-12-31$7,917,155
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$7,783,987
Expenses. Certain deemed distributions of participant loans2021-12-31$39,287
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$10,377,346
Value of total assets at end of year2021-12-31$108,576,645
Value of total assets at beginning of year2021-12-31$94,870,528
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$93,881
Total interest from all sources2021-12-31$399,498
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$3,091,535
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$3,091,535
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$3,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$4,923,142
Participant contributions at end of year2021-12-31$1,047,422
Participant contributions at beginning of year2021-12-31$1,102,525
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$2,134,995
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$13,706,117
Value of net assets at end of year (total assets less liabilities)2021-12-31$108,576,645
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$94,870,528
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$87,148,381
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$73,355,632
Interest on participant loans2021-12-31$52,825
Interest earned on other investments2021-12-31$346,673
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$18,807,210
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$18,625,268
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,774,175
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$7,754,893
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,319,209
Employer contributions (assets) at end of year2021-12-31$1,573,632
Employer contributions (assets) at beginning of year2021-12-31$1,787,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$6,009,812
Contract administrator fees2021-12-31$93,881
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BAKER TILLY US, LLP
Accountancy firm EIN2021-12-31390850991
2020 : POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$20,313,890
Total of all expenses incurred2020-12-31$6,016,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$5,903,380
Expenses. Certain deemed distributions of participant loans2020-12-31$21,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$8,438,485
Value of total assets at end of year2020-12-31$94,870,528
Value of total assets at beginning of year2020-12-31$80,573,345
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$91,860
Total interest from all sources2020-12-31$417,094
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,720,535
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,720,535
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$3,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$4,980,821
Participant contributions at end of year2020-12-31$1,102,525
Participant contributions at beginning of year2020-12-31$1,082,497
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$22,666
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$14,297,183
Value of net assets at end of year (total assets less liabilities)2020-12-31$94,870,528
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$80,573,345
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$73,355,632
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$62,213,605
Interest on participant loans2020-12-31$62,366
Interest earned on other investments2020-12-31$354,728
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$18,625,268
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$15,444,819
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$9,737,776
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,434,998
Employer contributions (assets) at end of year2020-12-31$1,787,103
Employer contributions (assets) at beginning of year2020-12-31$1,832,424
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$5,903,380
Contract administrator fees2020-12-31$91,860
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BAKER TILLY US, LLP
Accountancy firm EIN2020-12-31390859910
2019 : POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$21,513,043
Total of all expenses incurred2019-12-31$6,424,042
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,312,596
Value of total corrective distributions2019-12-31$5,784
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$9,264,834
Value of total assets at end of year2019-12-31$80,573,346
Value of total assets at beginning of year2019-12-31$65,484,345
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$105,662
Total interest from all sources2019-12-31$418,531
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,093,791
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$2,093,791
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$3,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$4,988,191
Participant contributions at end of year2019-12-31$1,082,498
Participant contributions at beginning of year2019-12-31$853,118
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$748,962
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$15,089,001
Value of net assets at end of year (total assets less liabilities)2019-12-31$80,573,346
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$65,484,345
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$62,213,605
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$47,683,487
Interest on participant loans2019-12-31$52,798
Interest earned on other investments2019-12-31$365,733
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$15,444,819
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$15,279,625
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$9,735,887
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,527,681
Employer contributions (assets) at end of year2019-12-31$1,832,424
Employer contributions (assets) at beginning of year2019-12-31$1,668,115
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,312,596
Contract administrator fees2019-12-31$105,662
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2019-12-31390859910
2018 : POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$5,583,435
Total of all expenses incurred2018-12-31$6,051,670
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$5,908,506
Expenses. Certain deemed distributions of participant loans2018-12-31$8,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$8,311,368
Value of total assets at end of year2018-12-31$65,484,345
Value of total assets at beginning of year2018-12-31$65,952,580
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$135,086
Total interest from all sources2018-12-31$363,125
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$2,247,014
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$2,247,014
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$3,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$4,705,454
Participant contributions at end of year2018-12-31$853,118
Participant contributions at beginning of year2018-12-31$864,006
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$259,404
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-468,235
Value of net assets at end of year (total assets less liabilities)2018-12-31$65,484,345
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$65,952,580
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$47,683,487
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$48,962,157
Value of interest in pooled separate accounts at beginning of year2018-12-31$0
Interest on participant loans2018-12-31$31,389
Interest earned on other investments2018-12-31$331,736
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$15,279,625
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$14,436,575
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-5,338,072
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$3,346,510
Employer contributions (assets) at end of year2018-12-31$1,668,115
Employer contributions (assets) at beginning of year2018-12-31$1,689,842
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$5,908,506
Contract administrator fees2018-12-31$135,086
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2018-12-31390859910

Form 5500 Responses for POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN

2022: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: POCONO HEALTH SYSTEM DEFINED CONTRIBUTION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70867
Policy instance 4
Insurance contract or identification number70867
Number of Individuals Covered1072
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90537 )
Policy contract numberK0409A
Policy instance 3
Insurance contract or identification numberK0409A
Number of Individuals Covered11
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG48182
Policy instance 2
Insurance contract or identification numberG48182
Number of Individuals Covered9
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number1013631-01
Policy instance 1
Insurance contract or identification number1013631-01
Number of Individuals Covered62
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number1013631-01
Policy instance 1
Insurance contract or identification number1013631-01
Number of Individuals Covered68
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG48182
Policy instance 2
Insurance contract or identification numberG48182
Number of Individuals Covered9
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
ZURICH AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90537 )
Policy contract numberK0409A
Policy instance 3
Insurance contract or identification numberK0409A
Number of Individuals Covered11
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70867
Policy instance 4
Insurance contract or identification number70867
Number of Individuals Covered2301
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70867
Policy instance 4
Insurance contract or identification number70867
Number of Individuals Covered2213
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90537 )
Policy contract numberK0409A
Policy instance 3
Insurance contract or identification numberK0409A
Number of Individuals Covered10
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG48182
Policy instance 2
Insurance contract or identification numberG48182
Number of Individuals Covered9
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number1013631-01
Policy instance 1
Insurance contract or identification number1013631-01
Number of Individuals Covered73
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number1013631-01
Policy instance 2
Insurance contract or identification number1013631-01
Number of Individuals Covered76
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG48182
Policy instance 3
Insurance contract or identification numberG48182
Number of Individuals Covered10
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70867
Policy instance 4
Insurance contract or identification number70867
Number of Individuals Covered2141
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90537 )
Policy contract numberK0409A
Policy instance 5
Insurance contract or identification numberK0409A
Number of Individuals Covered10
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 numberCR08589
Policy instance 1
Insurance contract or identification numberCR08589
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number1013631-01
Policy instance 2
Insurance contract or identification number1013631-01
Number of Individuals Covered77
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG48182
Policy instance 3
Insurance contract or identification numberG48182
Number of Individuals Covered10
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70867
Policy instance 4
Insurance contract or identification number70867
Number of Individuals Covered2104
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 90537 )
Policy contract numberK0409A
Policy instance 5
Insurance contract or identification numberK0409A
Number of Individuals Covered8
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 numberCR08589
Policy instance 1
Insurance contract or identification numberCR08589
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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