NORTHERN RIVERS FAMILY SERVICES, INC. has sponsored the creation of one or more 401k plans.
Additional information about NORTHERN RIVERS FAMILY SERVICES, INC.
Submission information for form 5500 for 401k plan HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE
401k plan membership statisitcs for HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE
| Measure | Date | Value |
|---|
| 2017: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 764 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 673 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 673 |
| 2016: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 738 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 764 |
| 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 | 764 |
| 2015: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 579 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 738 |
| 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 | 738 |
| 2014: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 583 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 579 |
| Total of all active and inactive participants | 2014-01-01 | 579 |
| 2017: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 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: HEALTH INSURANCE PLAN OF NORTHERN RIVERS FAMILY SE 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | First time form 5500 has been submitted | Yes |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 ) |
| Policy contract number | 16428 |
| Policy instance | 1 |
| Insurance contract or identification number | 16428 | | Number of Individuals Covered | 1125 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $38,037 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $380,368 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $38,037 | | Insurance broker organization code? | 3 | | Insurance broker name | ROSE & KIERNAN, INC. |
|
| CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 ) |
| Policy contract number | 20029982 |
| Policy instance | 2 |
| Insurance contract or identification number | 20029982 | | Number of Individuals Covered | 1127 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $163,059 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $6,873,848 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $163,059 | | Insurance broker organization code? | 3 | | Insurance broker name | ROSE & KIERNAN, INC. |
|
| DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 ) |
| Policy contract number | 16428 |
| Policy instance | 1 |
| Insurance contract or identification number | 16428 | | Number of Individuals Covered | 1268 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $28,890 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $347,980 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $28,890 | | Insurance broker organization code? | 3 | | Insurance broker name | ROSE & KIERNAN, INC. |
|
| CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (National Association of Insurance Commissioners NAIC id number: 95491 ) |
| Policy contract number | 20029982 |
| Policy instance | 2 |
| Insurance contract or identification number | 20029982 | | Number of Individuals Covered | 1331 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $208,210 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,115,607 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $208,210 | | Insurance broker organization code? | 3 | | Insurance broker name | ROSE & KIERNAN, INC. |
|
| DELTA DENTAL OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 55263 ) |
| Policy contract number | 16428 |
| Policy instance | 1 |
| Insurance contract or identification number | 16428 | | Number of Individuals Covered | 524 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $5,317 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $175,231 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,317 | | Insurance broker organization code? | 3 | | Insurance broker name | ROSE & KIERNAN, INC. |
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| EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 ) |
| Policy contract number | 720865 |
| Policy instance | 2 |
| Insurance contract or identification number | 720865 | | Number of Individuals Covered | 583 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $136,017 | | Total amount of fees paid to insurance company | USD $31,600 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $5,485,792 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $136,017 | | Amount paid for insurance broker fees | 31600 | | Additional information about fees paid to insurance broker | INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING. | | Insurance broker organization code? | 3 | | Insurance broker name | ROSE & KIERNAN, INC. |
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