JERSEY SHORE HOSPITAL has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN
401k plan membership statisitcs for JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN
| Measure | Date | Value |
|---|
| 2017: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-07-01 | 213 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-07-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-07-01 | 0 |
| Total of all active and inactive participants | 2017-07-01 | 0 |
| 2016: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-07-01 | 224 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 224 |
| Number of retired or separated participants receiving benefits | 2016-07-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-07-01 | 0 |
| Total of all active and inactive participants | 2016-07-01 | 224 |
| Total participants, beginning-of-year | 2016-01-01 | 251 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 231 |
| 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 | 231 |
| 2015: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 289 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 251 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| 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 | 251 |
| 2014: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 281 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 289 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| 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 | 289 |
| 2013: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 259 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 281 |
| Total of all active and inactive participants | 2013-01-01 | 281 |
| Total participants | 2013-01-01 | 281 |
| 2012: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 252 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 259 |
| Total of all active and inactive participants | 2012-01-01 | 259 |
| Total participants | 2012-01-01 | 259 |
| 2011: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 232 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 252 |
| Total of all active and inactive participants | 2011-01-01 | 252 |
| Total participants | 2011-01-01 | 252 |
| 2009: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 223 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 243 |
| Total of all active and inactive participants | 2009-01-01 | 243 |
| Total participants | 2009-01-01 | 243 |
| 2017: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2017 form 5500 responses |
|---|
| 2017-07-01 | Type of plan entity | Single employer plan |
| 2017-07-01 | This submission is the final filing | Yes |
| 2017-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-07-01 | Plan funding arrangement – Insurance | Yes |
| 2017-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2016 form 5500 responses |
|---|
| 2016-07-01 | Type of plan entity | Single employer plan |
| 2016-07-01 | Plan funding arrangement – Insurance | Yes |
| 2016-07-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY 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 | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY 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 | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 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 | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: JERSEY SHORE HOSPITAL GROUP LIFE INSURANCE AND LONG TERM DISABILITY 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 | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX967267 |
| Policy instance | 1 |
| Insurance contract or identification number | FLX967267 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-03-17 | | Total amount of commissions paid to insurance broker | USD $903 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,510 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $903 | | Insurance broker organization code? | 3 | | Insurance broker name | FIRST NATIONAL INSURANCE |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | LK 964991 |
| Policy instance | 2 |
| Insurance contract or identification number | LK 964991 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-03-17 | | Total amount of commissions paid to insurance broker | USD $1,881 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,744 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,881 | | Insurance broker organization code? | 3 | | Insurance broker name | FIRST NATIONAL INSURANCE |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 968777 |
| Policy instance | 3 |
| Insurance contract or identification number | OK 968777 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-03-17 | | Total amount of commissions paid to insurance broker | USD $184 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $1,531 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $184 | | Insurance broker organization code? | 3 | | Insurance broker name | FIRST NATIONAL INSURANCE |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | FLX 967268 |
| Policy instance | 4 |
| Insurance contract or identification number | FLX 967268 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-03-17 | | Total amount of commissions paid to insurance broker | USD $1,064 | | Other welfare benefits provided | SUPPLEMENTAL LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $7,094 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,064 | | Insurance broker organization code? | 3 | | Insurance broker name | FIRST NATIONAL INSURANCE |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | VDT 962130 |
| Policy instance | 5 |
| Insurance contract or identification number | VDT 962130 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-03-17 | | Total amount of commissions paid to insurance broker | USD $1,375 | | Temporary Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,169 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,375 | | Insurance broker organization code? | 3 | | Insurance broker name | FIRST NATIONAL INSURANCE |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | OK 968778 |
| Policy instance | 6 |
| Insurance contract or identification number | OK 968778 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-03-17 | | Total amount of commissions paid to insurance broker | USD $4 | | Other welfare benefits provided | ACCIDENTAL DEATH & DIS. VOLUNTARY | | Welfare Benefit Premiums Paid to Carrier | USD $26 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4 | | Insurance broker organization code? | 3 | | Insurance broker name | FIRST NATIONAL INSURANCE |
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