401k Plan data: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN plan

NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 401k Plan overview

Plan Name	NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN
Plan identification number	008

NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

NORTHSHORE UNIVERSITY HEALTHSYSTEM has sponsored the creation of one or more 401k plans.

Company Name: NORTHSHORE UNIVERSITY HEALTHSYSTEM

Employer identification number (EIN): 362167060

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
008 2022-01-01
008 2021-01-01
008 2020-01-01

Plan Statistics for NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN

401k plan membership statisitcs for NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN

Measure Date Value
2022: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 675
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 620
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 105
Total of all active and inactive participants 2022-01-01 725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 2
Total participants 2022-01-01 727
Number of participants with account balances 2022-01-01 702
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 28
2021: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 551
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 577
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 98
Total of all active and inactive participants 2021-01-01 675
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 675
Number of participants with account balances 2021-01-01 660
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 41
2020: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 545
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 517
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 34
Total of all active and inactive participants 2020-01-01 551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 551
Number of participants with account balances 2020-01-01 376
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 21

Measure	Date	Value
2022: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	675
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	620
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	105
Total of all active and inactive participants	2022-01-01	725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	2
Total participants	2022-01-01	727
Number of participants with account balances	2022-01-01	702
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	28
2021: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	551
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	577
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	98
Total of all active and inactive participants	2021-01-01	675
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	675
Number of participants with account balances	2021-01-01	660
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	41
2020: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	545
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	517
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	34
Total of all active and inactive participants	2020-01-01	551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	551
Number of participants with account balances	2020-01-01	376
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	21

Financial Data on NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN

Measure	Date	Value
2022 : NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$2,499,184
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$677,846
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$665,416
Expenses. Certain deemed distributions of participant loans	2022-12-31	$3,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$5,501,040
Value of total assets at end of year	2022-12-31	$17,002,102
Value of total assets at beginning of year	2022-12-31	$15,180,764
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$9,388
Total interest from all sources	2022-12-31	$3,996
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$590,055
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$590,055
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$25,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$2,960,010
Participant contributions at end of year	2022-12-31	$93,453
Participant contributions at beginning of year	2022-12-31	$54,075
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$107,616
Other income not declared elsewhere	2022-12-31	$102
Administrative expenses (other) incurred	2022-12-31	$9,388
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$1,821,338
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$17,002,102
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$15,180,764
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$16,493,003
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$14,958,064
Value of interest in pooled separate accounts at end of year	2022-12-31	$415,646
Value of interest in pooled separate accounts at beginning of year	2022-12-31	$168,625
Interest on participant loans	2022-12-31	$3,996
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-3,603,779
Net investment gain/loss from pooled separate accounts	2022-12-31	$7,770
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$2,433,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$665,416
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	MITCHELL & TITUS, LLP
Accountancy firm EIN	2022-12-31	132781641
2021 : NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$8,511,520
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$559,875
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$536,101
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$6,856,424
Value of total assets at end of year	2021-12-31	$15,180,764
Value of total assets at beginning of year	2021-12-31	$7,229,119
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$23,774
Total interest from all sources	2021-12-31	$1,300
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$501,982
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$501,982
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$25,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$3,285,642
Participant contributions at end of year	2021-12-31	$54,075
Participant contributions at beginning of year	2021-12-31	$1,284
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$552,720
Other income not declared elsewhere	2021-12-31	$259
Administrative expenses (other) incurred	2021-12-31	$23,774
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$7,951,645
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$15,180,764
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$7,229,119
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$14,958,064
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$7,152,842
Value of interest in pooled separate accounts at end of year	2021-12-31	$168,625
Value of interest in pooled separate accounts at beginning of year	2021-12-31	$74,993
Interest on participant loans	2021-12-31	$1,300
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,148,313
Net investment gain/loss from pooled separate accounts	2021-12-31	$3,242
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$3,018,062
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$536,101
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	MITCHELL & TITUS, LLP
Accountancy firm EIN	2021-12-31	132781641
2020 : NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$7,314,980
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$85,861
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$59,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$6,129,915
Value of total assets at end of year	2020-12-31	$7,229,119
Value of total assets at beginning of year	2020-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$26,181
Total interest from all sources	2020-12-31	$9
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$149,412
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$149,412
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$25,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$3,241,618
Participant contributions at end of year	2020-12-31	$1,284
Participant contributions at beginning of year	2020-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$2,367,474
Administrative expenses (other) incurred	2020-12-31	$26,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$7,229,119
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$7,229,119
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$7,152,842
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$0
Value of interest in pooled separate accounts at end of year	2020-12-31	$74,993
Value of interest in pooled separate accounts at beginning of year	2020-12-31	$0
Interest on participant loans	2020-12-31	$9
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,032,012
Net investment gain/loss from pooled separate accounts	2020-12-31	$3,632
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$520,823
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$59,680
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MITCHELL & TITUS, LLP
Accountancy firm EIN	2020-12-31	132781641

Form 5500 Responses for NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN

2022: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: NORTHSHORE UNIVERSITY HEALTHSYSTEM 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	First time form 5500 has been submitted	Yes
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

664484

Policy instance

Insurance contract or identification number	664484
Number of Individuals Covered	726
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

664484

Policy instance

Insurance contract or identification number	664484
Number of Individuals Covered	727
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

664484

Policy instance

Insurance contract or identification number	664484
Number of Individuals Covered	675
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

664484

Policy instance

Insurance contract or identification number	664484
Number of Individuals Covered	557
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	NORTHSHORE UNIVERSITY HEALTHSYSTEM
Employer identification number (EIN):	362167060
NAIC Classification:	622000
NAIC Description:	Hospitals