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NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 401k Plan overview

Plan NameNORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN
Plan identification number 505

NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

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:622000
NAIC Description: Hospitals

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-10-01SONDRA DAVIS2024-07-15
5052021-10-01SONDRA DAVIS2023-07-14
5052020-10-01SONDRA DAVIS2022-07-14
5052019-10-01SONDRA DAVIS2021-07-15
5052018-10-01SONDRA DAVIS2020-06-25
5052017-10-01SONDRA DAVIS2019-07-08
5052016-10-01
5052015-10-01
5052014-10-01DONNA W BRUCE
5052013-10-01DONNA W BRUCE
5052012-10-01DONNA W BRUCE
5052011-10-01DONNA W BRUCE
5052009-10-01DONNA W. BRUCE
5052009-10-01DONNA W. BRUCE
5052008-10-01

Plan Statistics for NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN

401k plan membership statisitcs for NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN

Measure Date Value
2022: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-014,572
Total number of active participants reported on line 7a of the Form 55002022-10-010
Total of all active and inactive participants2022-10-010
Total participants2022-10-010
2021: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-015,129
Total number of active participants reported on line 7a of the Form 55002021-10-014,572
Total of all active and inactive participants2021-10-014,572
Total participants2021-10-014,572
2020: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-015,431
Total number of active participants reported on line 7a of the Form 55002020-10-015,129
Total of all active and inactive participants2020-10-015,129
Total participants2020-10-015,129
2019: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-015,491
Total number of active participants reported on line 7a of the Form 55002019-10-015,431
Total of all active and inactive participants2019-10-015,431
Total participants2019-10-015,431
2018: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-015,245
Total number of active participants reported on line 7a of the Form 55002018-10-015,491
Total of all active and inactive participants2018-10-015,491
Total participants2018-10-015,491
2017: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-015,129
Total number of active participants reported on line 7a of the Form 55002017-10-015,245
Total of all active and inactive participants2017-10-015,245
Total participants2017-10-015,245
2016: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-015,583
Total number of active participants reported on line 7a of the Form 55002016-10-015,129
Total of all active and inactive participants2016-10-015,129
Total participants2016-10-015,129
2015: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY 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. LT DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-014,773
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. LT DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-014,958
Total number of active participants reported on line 7a of the Form 55002013-10-014,773
Total of all active and inactive participants2013-10-014,773
Total participants2013-10-014,773
2012: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-014,990
Total number of active participants reported on line 7a of the Form 55002012-10-014,958
Total of all active and inactive participants2012-10-014,958
Total participants2012-10-014,958
2011: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-014,890
Total number of active participants reported on line 7a of the Form 55002011-10-014,990
Total of all active and inactive participants2011-10-014,990
Total participants2011-10-014,990
2009: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-014,942
Total number of active participants reported on line 7a of the Form 55002009-10-014,870
Total of all active and inactive participants2009-10-014,870
Total participants2009-10-014,870

Form 5500 Responses for NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN

2022: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01This submission is the final filingYes
2022-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY 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. LT DISABILITY 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. LT DISABILITY 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. LT DISABILITY 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. LT DISABILITY 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. LT DISABILITY 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. LT DISABILITY 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. LT DISABILITY 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. LT DISABILITY 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. LT DISABILITY 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. LT DISABILITY 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
2009: NORTH MISSISSIPPI HEALTH SERVICES, INC. LT DISABILITY 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. LT DISABILITY 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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGF3-890-LF0191-
Policy instance 1
Insurance contract or identification numberGF3-890-LF0191-
Number of Individuals Covered4546
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $57,610
Total amount of fees paid to insurance companyUSD $14,658
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $888,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,150
Amount paid for insurance broker fees14658
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract numberGF3-890-LF0191
Policy instance 1
Insurance contract or identification numberGF3-890-LF0191
Number of Individuals Covered4867
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $50,857
Total amount of fees paid to insurance companyUSD $32,256
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $726,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,531
Insurance broker organization code?3
Amount paid for insurance broker fees32256
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 numberGF3-890-LF0191
Policy instance 1
Insurance contract or identification numberGF3-890-LF0191
Number of Individuals Covered5363
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $46,004
Total amount of fees paid to insurance companyUSD $36,343
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $657,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,144
Insurance broker organization code?3
Amount paid for insurance broker fees36343
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 numberLK 961153
Policy instance 1
Insurance contract or identification numberLK 961153
Number of Individuals Covered5513
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,023,656
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 numberLK 961153
Policy instance 1
Insurance contract or identification numberLK 961153
Number of Individuals Covered5198
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,061,448
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 numberLK 961153
Policy instance 1
Insurance contract or identification numberLK 961153
Number of Individuals Covered5178
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $963,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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