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| Plan Name | CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SPRINGBROOK BEHAVIORAL HEALTH SYSTE |
| Employer identification number (EIN): | 570693272 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2018-02-01 | BART BENNETT | |||
| 502 | 2017-02-01 | ||||
| 502 | 2016-02-01 | BART BENNETT | |||
| 502 | 2015-02-01 | BART BENNETT | |||
| 502 | 2014-02-01 | BART BENNETT | |||
| 502 | 2014-02-01 | BART BENNETT |
| Measure | Date | Value |
|---|---|---|
| 2018: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-02-01 | 144 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-02-01 | 0 |
| Number of retired or separated participants receiving benefits | 2018-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-02-01 | 0 |
| Total of all active and inactive participants | 2018-02-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-02-01 | 0 |
| 2017: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-02-01 | 122 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-02-01 | 144 |
| Number of retired or separated participants receiving benefits | 2017-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-02-01 | 0 |
| Total of all active and inactive participants | 2017-02-01 | 144 |
| 2016: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-02-01 | 163 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-02-01 | 122 |
| Number of retired or separated participants receiving benefits | 2016-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-02-01 | 0 |
| Total of all active and inactive participants | 2016-02-01 | 122 |
| 2015: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-02-01 | 160 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-02-01 | 118 |
| Number of retired or separated participants receiving benefits | 2015-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-02-01 | 0 |
| Total of all active and inactive participants | 2015-02-01 | 118 |
| 2014: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-02-01 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-02-01 | 160 |
| Number of retired or separated participants receiving benefits | 2014-02-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-02-01 | 0 |
| Total of all active and inactive participants | 2014-02-01 | 160 |
| 2018: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-02-01 | Type of plan entity | Single employer plan |
| 2018-02-01 | Submission has been amended | No |
| 2018-02-01 | This submission is the final filing | Yes |
| 2018-02-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-02-01 | Plan is a collectively bargained plan | No |
| 2018-02-01 | Plan funding arrangement – Insurance | Yes |
| 2018-02-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-02-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2017 form 5500 responses | ||
| 2017-02-01 | Type of plan entity | Single employer plan |
| 2017-02-01 | Plan funding arrangement – Insurance | Yes |
| 2017-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2016 form 5500 responses | ||
| 2016-02-01 | Type of plan entity | Single employer plan |
| 2016-02-01 | Submission has been amended | No |
| 2016-02-01 | This submission is the final filing | No |
| 2016-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-02-01 | Plan is a collectively bargained plan | No |
| 2016-02-01 | Plan funding arrangement – Insurance | Yes |
| 2016-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2015 form 5500 responses | ||
| 2015-02-01 | Type of plan entity | Single employer plan |
| 2015-02-01 | Submission has been amended | No |
| 2015-02-01 | This submission is the final filing | No |
| 2015-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-02-01 | Plan is a collectively bargained plan | No |
| 2015-02-01 | Plan funding arrangement – Insurance | Yes |
| 2015-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: CHESTNUT HILL MENTAL HEALTH CENTER, INC. DBA SPRINGBROOK BEHAVIOR HEALTH SYSTEM HEALTH PLAN 2014 form 5500 responses | ||
| 2014-02-01 | Type of plan entity | Single employer plan |
| 2014-02-01 | First time form 5500 has been submitted | Yes |
| 2014-02-01 | Submission has been amended | Yes |
| 2014-02-01 | This submission is the final filing | No |
| 2014-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-02-01 | Plan is a collectively bargained plan | No |
| 2014-02-01 | Plan funding arrangement – Insurance | Yes |
| 2014-02-01 | Plan benefit arrangement – Insurance | Yes |
| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | BAA55 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | BAA55 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| BLUECHOICE HEALTHPLAN (National Association of Insurance Commissioners NAIC id number: 95741 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | BAA55 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 3184590000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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