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Plan Name | BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL |
Plan identification number | 504 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | GNADEN HUETTEN MEMORIAL HOSPITAL |
Employer identification number (EIN): | 240795436 |
NAIC Classification: | 622000 |
NAIC Description: | Hospitals |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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504 | 2017-07-01 | ||||
504 | 2016-07-01 |
Measure | Date | Value |
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2017: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2017 401k membership | ||
Total participants, beginning-of-year | 2017-07-01 | 845 |
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 |
Total of all active and inactive participants | 2017-07-01 | 0 |
2016: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2016 401k membership | ||
Total participants, beginning-of-year | 2016-07-01 | 863 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-07-01 | 778 |
Number of retired or separated participants receiving benefits | 2016-07-01 | 67 |
Total of all active and inactive participants | 2016-07-01 | 845 |
2017: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 2017 form 5500 responses | ||
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2017-07-01 | Type of plan entity | Single employer plan |
2017-07-01 | This submission is the final filing | Yes |
2017-07-01 | Plan funding arrangement – Insurance | Yes |
2017-07-01 | Plan benefit arrangement – Insurance | Yes |
2016: BLUE MOUNTAIN HEALTH SYSTEM LIFE & AD&D PLAN, SUCCESSOR TO GNADEN HUETTEN MEMORIAL HOSPITAL & PALMERTON HOSPITAL 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 |
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||
Policy contract number | 875064G | ||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||
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