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NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 401k Plan overview

Plan NameNORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN
Plan identification number 509

NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

NORTH MISSISSIPPI HEALTH SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:NORTH MISSISSIPPI HEALTH SERVICES, INC.
Employer identification number (EIN):640653269
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092021-10-01SONDRA DAVIS2023-07-14
5092020-10-01SONDRA DAVIS2022-07-14
5092019-10-01SONDRA DAVIS2021-07-15
5092018-10-01SONDRA DAVIS2020-06-25
5092017-10-01SONDRA DAVIS2019-07-08
5092016-10-01
5092015-10-01
5092014-10-01DONNA W BRUCE
5092013-10-01DONNA W BRUCE
5092012-10-01DONNA W BRUCE
5092011-10-01DONNA W BRUCE
5092010-10-01DONNA W. BRUCE
5092009-10-01DONNA W. BRUCE
5092009-10-01DONNA W. BRUCE
5092008-10-01

Plan Statistics for NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN

401k plan membership statisitcs for NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN

Measure Date Value
2021: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-015,533
Total number of active participants reported on line 7a of the Form 55002021-10-015,327
Total of all active and inactive participants2021-10-015,327
Total participants2021-10-015,327
2020: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-015,774
Total number of active participants reported on line 7a of the Form 55002020-10-015,533
Total of all active and inactive participants2020-10-015,533
Total participants2020-10-015,533
2019: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-015,892
Total number of active participants reported on line 7a of the Form 55002019-10-015,774
Total of all active and inactive participants2019-10-015,774
Total participants2019-10-015,774
2018: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-015,579
Total number of active participants reported on line 7a of the Form 55002018-10-015,892
Total of all active and inactive participants2018-10-015,892
Total participants2018-10-015,892
2017: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-015,803
Total number of active participants reported on line 7a of the Form 55002017-10-015,579
Total of all active and inactive participants2017-10-015,579
Total participants2017-10-015,579
2016: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-015,583
Total number of active participants reported on line 7a of the Form 55002016-10-015,803
Total of all active and inactive participants2016-10-015,803
Total participants2016-10-015,803
2015: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-015,231
Total number of active participants reported on line 7a of the Form 55002015-10-015,583
Total of all active and inactive participants2015-10-015,583
Total participants2015-10-015,583
2014: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-015,052
Total number of active participants reported on line 7a of the Form 55002014-10-015,231
Total of all active and inactive participants2014-10-015,231
Total participants2014-10-015,231
2013: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-014,934
Total number of active participants reported on line 7a of the Form 55002013-10-015,052
Total of all active and inactive participants2013-10-015,052
Total participants2013-10-015,052
2012: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-015,208
Total number of active participants reported on line 7a of the Form 55002012-10-014,934
Total of all active and inactive participants2012-10-014,934
Total participants2012-10-014,934
2011: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-015,278
Total number of active participants reported on line 7a of the Form 55002011-10-015,208
Total of all active and inactive participants2011-10-015,208
Total participants2011-10-015,208
2010: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-015,389
Total number of active participants reported on line 7a of the Form 55002010-10-015,278
Total of all active and inactive participants2010-10-015,278
Total participants2010-10-015,278
2009: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-015,339
Total number of active participants reported on line 7a of the Form 55002009-10-015,389
Total of all active and inactive participants2009-10-015,389
Total participants2009-10-015,389

Form 5500 Responses for NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN

2021: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2019: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan benefit arrangement – InsuranceYes
2018: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan benefit arrangement – InsuranceYes
2017: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan benefit arrangement – InsuranceYes
2016: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2010: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedYes
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2008: NORTH MISSISSIPPI HEALTH SERVICES, INC. GROUP LIFE PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number71089-0
Policy instance 2
Insurance contract or identification number71089-0
Number of Individuals Covered3136
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $75,005
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $697,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $75,005
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberSA3-890-LF0191
Policy instance 1
Insurance contract or identification numberSA3-890-LF0191
Number of Individuals Covered5634
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $98,829
Total amount of fees paid to insurance companyUSD $56,936
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,411,846
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,237
Insurance broker organization code?3
Amount paid for insurance broker fees56936
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberSA3-890-LF0191
Policy instance 1
Insurance contract or identification numberSA3-890-LF0191
Number of Individuals Covered5726
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $92,291
Total amount of fees paid to insurance companyUSD $63,659
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,318,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,369
Insurance broker organization code?3
Amount paid for insurance broker fees63659
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961546
Policy instance 2
Insurance contract or identification numberOK 961546
Number of Individuals Covered5890
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $136,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961453
Policy instance 1
Insurance contract or identification numberFLX961453
Number of Individuals Covered5890
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,429,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961453
Policy instance 4
Insurance contract or identification numberFLX961453
Number of Individuals Covered5890
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,429,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961546
Policy instance 3
Insurance contract or identification numberOK 961546
Number of Individuals Covered5890
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $136,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961546
Policy instance 2
Insurance contract or identification numberOK 961546
Number of Individuals Covered5623
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $128,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961453
Policy instance 1
Insurance contract or identification numberFLX961453
Number of Individuals Covered5623
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,238,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 961546
Policy instance 2
Insurance contract or identification numberOK 961546
Number of Individuals Covered5709
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $134,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961453
Policy instance 1
Insurance contract or identification numberFLX961453
Number of Individuals Covered5709
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,327,681
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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