401k Plan data: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN plan

JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN
Plan identification number	505

JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH has sponsored the creation of one or more 401k plans.

Company Name: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH

Employer identification number (EIN): 223113960

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2015-01-01 MARY LOU ZUBRYCKI
505 2014-01-01 MARY CATAUDELLA
505 2013-01-01 MARY CATAUDELLA
505 2012-01-01 MARY CATAUDELLA MARY CATAUDELLA 2013-10-11
505 2011-01-01 MARY CATAUDELLA
505 2010-01-01 MARY CATAUDELLA
505 2009-01-01 MARY CATAUDELLA

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2015-01-01	MARY LOU ZUBRYCKI
505	2014-01-01	MARY CATAUDELLA
505	2013-01-01	MARY CATAUDELLA
505	2012-01-01	MARY CATAUDELLA	MARY CATAUDELLA	2013-10-11
505	2011-01-01	MARY CATAUDELLA
505	2010-01-01	MARY CATAUDELLA
505	2009-01-01	MARY CATAUDELLA

Plan Statistics for JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN

401k plan membership statisitcs for JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN

Measure Date Value
2015: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 2,314
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 2,170
Number of retired or separated participants receiving benefits 2015-01-01 123
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 2,293
2014: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,284
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,166
Number of retired or separated participants receiving benefits 2014-01-01 148
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 2,314
2013: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,955
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 2,126
Number of retired or separated participants receiving benefits 2013-01-01 158
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 2,284
2012: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,019
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,817
Number of retired or separated participants receiving benefits 2012-01-01 138
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1,955
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
2011: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,352
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,352
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 1,352
2010: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,628
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,578
Total of all active and inactive participants 2010-01-01 1,578
Total participants 2010-01-01 1,578
2009: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,628
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,628
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 0
Total of all active and inactive participants 2009-01-01 1,628

Measure	Date	Value
2015: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	2,314
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	2,170
Number of retired or separated participants receiving benefits	2015-01-01	123
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	2,293
2014: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,284
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,166
Number of retired or separated participants receiving benefits	2014-01-01	148
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	2,314
2013: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,955
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	2,126
Number of retired or separated participants receiving benefits	2013-01-01	158
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	2,284
2012: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,019
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,817
Number of retired or separated participants receiving benefits	2012-01-01	138
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1,955
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
2011: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,352
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,352
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	1,352
2010: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,628
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,578
Total of all active and inactive participants	2010-01-01	1,578
Total participants	2010-01-01	1,578
2009: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,628
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,628
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	0
Total of all active and inactive participants	2009-01-01	1,628

Form 5500 Responses for JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN

2015: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS 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	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS 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	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS 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	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS 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	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH WELFARE BENEFITS 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	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12132475
Policy instance	2
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	03517
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12132475
Policy instance	2
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	3517-9006
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12132475
Policy instance	2
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	3517-9006
Policy instance	1
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number	3517-6006
Policy instance	1
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number	89787
Policy instance	5
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	674763G
Policy instance	4
FLAGSHIP HEALTH SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number	3517-9006
Policy instance	3
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number	3517-06
Policy instance	2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12132475
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number	12132475
Policy instance	1

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Company Name:	JERSEY CITY MEDICAL CENTER - BARNABAS HEALTH
Employer identification number (EIN):	223113960
NAIC Classification:	622000
NAIC Description:	Hospitals