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NEW MILFORD HOSPITAL 403(B) PLAN 401k Plan overview

Plan NameNEW MILFORD HOSPITAL 403(B) PLAN
Plan identification number 002

NEW MILFORD HOSPITAL 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

NEW MILFORD HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:NEW MILFORD HOSPITAL, INC.
Employer identification number (EIN):060669121
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW MILFORD HOSPITAL 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022012-10-01ROMULO SALAZAR ROMULO SALAZAR2014-10-07
0022009-10-01KEVIN T. MEADE

Plan Statistics for NEW MILFORD HOSPITAL 403(B) PLAN

401k plan membership statisitcs for NEW MILFORD HOSPITAL 403(B) PLAN

Measure Date Value
2012: NEW MILFORD HOSPITAL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01540
Total number of active participants reported on line 7a of the Form 55002012-10-01449
Number of retired or separated participants receiving benefits2012-10-011
Number of other retired or separated participants entitled to future benefits2012-10-0147
Total of all active and inactive participants2012-10-01497
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-01497
Number of participants with account balances2012-10-01451
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-015
2009: NEW MILFORD HOSPITAL 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01713
Total number of active participants reported on line 7a of the Form 55002009-10-01704
Number of retired or separated participants receiving benefits2009-10-019
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01713
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01713
Number of participants with account balances2009-10-01704
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on NEW MILFORD HOSPITAL 403(B) PLAN

Measure Date Value
2013 : NEW MILFORD HOSPITAL 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total income from all sources (including contributions)2013-09-30$1,274,740
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$1,369,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,345,266
Expenses. Certain deemed distributions of participant loans2013-09-30$20,631
Value of total corrective distributions2013-09-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$43,894
Value of total assets at end of year2013-09-30$11,130,449
Value of total assets at beginning of year2013-09-30$11,224,861
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$3,255
Total interest from all sources2013-09-30$12,774
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$233,626
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-09-30$233,626
Administrative expenses professional fees incurred2013-09-30$0
Was this plan covered by a fidelity bond2013-09-30No
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$0
Participant contributions at end of year2013-09-30$86,232
Participant contributions at beginning of year2013-09-30$147,399
Assets. Other investments not covered elsewhere at end of year2013-09-30$0
Assets. Other investments not covered elsewhere at beginning of year2013-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-09-30$0
Other income not declared elsewhere2013-09-30$0
Administrative expenses (other) incurred2013-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$-94,412
Value of net assets at end of year (total assets less liabilities)2013-09-30$11,130,449
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$11,224,861
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Investment advisory and management fees2013-09-30$1
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$10,278,263
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$10,253,986
Value of interest in pooled separate accounts at end of year2013-09-30$0
Value of interest in pooled separate accounts at beginning of year2013-09-30$0
Interest on participant loans2013-09-30$4,433
Interest earned on other investments2013-09-30$8,341
Value of interest in common/collective trusts at end of year2013-09-30$0
Value of interest in common/collective trusts at beginning of year2013-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$765,954
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$823,476
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$984,446
Net investment gain/loss from pooled separate accounts2013-09-30$0
Net investment gain or loss from common/collective trusts2013-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Assets. Invements in employer securities at end of year2013-09-30$0
Assets. Invements in employer securities at beginning of year2013-09-30$0
Contributions received in cash from employer2013-09-30$43,894
Income. Dividends from common stock2013-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$1,345,266
Contract administrator fees2013-09-30$3,254
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
2012 : NEW MILFORD HOSPITAL 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total income from all sources (including contributions)2012-09-30$2,938,720
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$1,313,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$1,310,922
Expenses. Certain deemed distributions of participant loans2012-09-30$0
Value of total corrective distributions2012-09-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$1,302,565
Value of total assets at end of year2012-09-30$11,224,861
Value of total assets at beginning of year2012-09-30$9,600,134
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$3,071
Total interest from all sources2012-09-30$21,851
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$278,774
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-09-30$278,774
Administrative expenses professional fees incurred2012-09-30$0
Was this plan covered by a fidelity bond2012-09-30No
Contributions received from participants2012-09-30$579,263
Participant contributions at end of year2012-09-30$147,399
Participant contributions at beginning of year2012-09-30$157,363
Assets. Other investments not covered elsewhere at end of year2012-09-30$0
Assets. Other investments not covered elsewhere at beginning of year2012-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2012-09-30$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-09-30$0
Other income not declared elsewhere2012-09-30$0
Administrative expenses (other) incurred2012-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$1,624,727
Value of net assets at end of year (total assets less liabilities)2012-09-30$11,224,861
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$9,600,134
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Investment advisory and management fees2012-09-30$1
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$10,253,986
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$8,523,410
Value of interest in pooled separate accounts at end of year2012-09-30$0
Value of interest in pooled separate accounts at beginning of year2012-09-30$0
Interest on participant loans2012-09-30$5,985
Interest earned on other investments2012-09-30$15,866
Value of interest in common/collective trusts at end of year2012-09-30$0
Value of interest in common/collective trusts at beginning of year2012-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-09-30$823,476
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$919,361
Expenses. Payments to insurance carriers foe the provision of benefits2012-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$1,335,530
Net investment gain/loss from pooled separate accounts2012-09-30$0
Net investment gain or loss from common/collective trusts2012-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Assets. Invements in employer securities at end of year2012-09-30$0
Assets. Invements in employer securities at beginning of year2012-09-30$0
Contributions received in cash from employer2012-09-30$723,302
Income. Dividends from common stock2012-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$1,310,922
Contract administrator fees2012-09-30$3,070
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
2011 : NEW MILFORD HOSPITAL 403(B) PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-09-30$1,234,522
Total unrealized appreciation/depreciation of assets2011-09-30$1,234,522
Total transfer of assets to this plan2011-09-30$600,417
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total income from all sources (including contributions)2011-09-30$2,983,957
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$375,865
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$371,931
Expenses. Certain deemed distributions of participant loans2011-09-30$0
Value of total corrective distributions2011-09-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$3,417,890
Value of total assets at end of year2011-09-30$9,600,134
Value of total assets at beginning of year2011-09-30$6,391,625
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$3,934
Total interest from all sources2011-09-30$16,816
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$174,302
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-09-30$174,302
Administrative expenses professional fees incurred2011-09-30$0
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$5,000,000
If this is an individual account plan, was there a blackout period2011-09-30No
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$1,756,170
Participant contributions at end of year2011-09-30$157,363
Participant contributions at beginning of year2011-09-30$99,566
Assets. Other investments not covered elsewhere at end of year2011-09-30$0
Assets. Other investments not covered elsewhere at beginning of year2011-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$159,159
Other income not declared elsewhere2011-09-30$0
Administrative expenses (other) incurred2011-09-30$10
Total non interest bearing cash at beginning of year2011-09-30$52
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$2,608,092
Value of net assets at end of year (total assets less liabilities)2011-09-30$9,600,134
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$6,391,625
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Investment advisory and management fees2011-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$8,523,410
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$5,569,836
Value of interest in pooled separate accounts at end of year2011-09-30$0
Value of interest in pooled separate accounts at beginning of year2011-09-30$0
Interest on participant loans2011-09-30$5,223
Interest earned on other investments2011-09-30$11,593
Value of interest in common/collective trusts at end of year2011-09-30$0
Value of interest in common/collective trusts at beginning of year2011-09-30$722,171
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$919,361
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$-1,859,573
Net investment gain/loss from pooled separate accounts2011-09-30$0
Net investment gain or loss from common/collective trusts2011-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30Yes
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Assets. Invements in employer securities at end of year2011-09-30$0
Assets. Invements in employer securities at beginning of year2011-09-30$0
Contributions received in cash from employer2011-09-30$1,502,561
Income. Dividends from common stock2011-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$371,931
Contract administrator fees2011-09-30$3,924
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
2010 : NEW MILFORD HOSPITAL 403(B) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for NEW MILFORD HOSPITAL 403(B) PLAN

2012: NEW MILFORD HOSPITAL 403(B) PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2009: NEW MILFORD HOSPITAL 403(B) PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 60651
Policy instance 1
Insurance contract or identification numberMR 60651
Number of Individuals Covered497
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $1,786
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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