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NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 401k Plan overview

Plan NameNORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN
Plan identification number 501

NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

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

Company Name:NORTH EAST MOBILE HEALTH SERVICES, INC.
Employer identification number (EIN):010510285
NAIC Classification:621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-07-01MARIA RUSSELL
5012014-07-01MARIA RUSSELL
5012013-07-01MARIA RUSSELL
5012012-07-01JAN DIMAURO
5012011-07-01JAN DIMAURO

Plan Statistics for NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN

401k plan membership statisitcs for NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN

Measure Date Value
2015: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01134
Total number of active participants reported on line 7a of the Form 55002015-07-01126
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01126
2014: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01129
Total number of active participants reported on line 7a of the Form 55002014-07-01134
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01134
2013: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01134
Total number of active participants reported on line 7a of the Form 55002013-07-01129
Total of all active and inactive participants2013-07-01129
2012: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01103
Total number of active participants reported on line 7a of the Form 55002012-07-01134
Total of all active and inactive participants2012-07-01134
2011: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01104
Total number of active participants reported on line 7a of the Form 55002011-07-01103
Total of all active and inactive participants2011-07-01103
Total participants2011-07-01103

Form 5500 Responses for NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN

2015: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2014: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – General assets of the sponsorYes
2013: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – General assets of the sponsorYes
2011: NORTH EAST MOBILE HEALTH SERVICES HEALTH BENEFITS PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01First time form 5500 has been submittedYes
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040857
Policy instance 2
Insurance contract or identification number010-040857
Number of Individuals Covered37
Insurance policy start date2015-07-01
Insurance policy end date2016-05-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameACADIA BENEFITS, INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number237895
Policy instance 4
Insurance contract or identification number237895
Number of Individuals Covered126
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Welfare Benefit Premiums Paid to CarrierUSD $220,164
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameSUNLIFE AGENT
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136161
Policy instance 1
Insurance contract or identification number136161
Number of Individuals Covered228
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $6,973
Total amount of fees paid to insurance companyUSD $502
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,973
Amount paid for insurance broker fees502
Insurance broker nameACADIA BENEFITS INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136162
Policy instance 3
Insurance contract or identification number136162
Number of Individuals Covered53
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $1,845
Total amount of fees paid to insurance companyUSD $92
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,845
Amount paid for insurance broker fees92
Insurance broker nameACADIA BENEFITS INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number
Policy instance 4
Number of Individuals Covered134
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Welfare Benefit Premiums Paid to CarrierUSD $181,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameSUNLIFE AGENT
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136162
Policy instance 3
Insurance contract or identification number136162
Number of Individuals Covered60
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $2,016
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,016
Insurance broker nameACADIA BENEFITS INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136161
Policy instance 1
Insurance contract or identification number136161
Number of Individuals Covered238
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $5,905
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,905
Insurance broker nameACADIA BENEFITS INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-040957
Policy instance 2
Insurance contract or identification number010-040957
Number of Individuals Covered266
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $2,785
Total amount of fees paid to insurance companyUSD $1,549
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,785
Amount paid for insurance broker fees1549
Insurance broker nameACADIA BENEFITS, INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136162
Policy instance 4
Insurance contract or identification number136162
Number of Individuals Covered73
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $1,797
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,797
Insurance broker nameHOLDEN AGENCY
ANTHEM HEALTH PLANS OF MAINE, INC. (National Association of Insurance Commissioners NAIC id number: 52618 )
Policy contract numberAME8126851
Policy instance 3
Insurance contract or identification numberAME8126851
Number of Individuals Covered110
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $2,624
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $83
Insurance broker nameHOLDEN AGENCY
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136161
Policy instance 2
Insurance contract or identification number136161
Number of Individuals Covered181
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $5,964
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,964
Insurance broker nameHOLDEN AGENCY
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10089
Policy instance 1
Insurance contract or identification numberSL10089
Number of Individuals Covered97
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $205,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10089
Policy instance 1
Insurance contract or identification numberSL10089
Number of Individuals Covered89
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $184,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number136161
Policy instance 2
Insurance contract or identification number136161
Number of Individuals Covered134
Insurance policy start date2012-08-01
Insurance policy end date2013-08-01
Total amount of commissions paid to insurance brokerUSD $5,413
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,413
Insurance broker nameHOLDEN AGENCY
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10089
Policy instance 1
Insurance contract or identification numberSL10089
Number of Individuals Covered103
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $200,588
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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