401k Plan data: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN plan

MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 401k Plan overview

Plan Name	MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN
Plan identification number	503

MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

MONTEFIORE MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: MONTEFIORE MEDICAL CENTER

Employer identification number (EIN): 131740114

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about MONTEFIORE MEDICAL CENTER

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1884-07-23

Company Identification Number: 19807

Legal Registered Office Address: 80 STATE STREET
Bronx
ALBANY
United States of America (USA)
12207

More information about MONTEFIORE MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2023-01-01 MATTEO RENNA 2024-07-03
503 2022-01-01 PAUL KELLER 2023-07-12
503 2021-01-01 PAUL KELLER 2022-09-29
503 2020-01-01
503 2019-01-01
503 2018-01-01
503 2017-01-01 PAUL KELLER
503 2016-01-01 PAUL KELLER
503 2015-01-01
503 2014-01-01 WILLIAM SHANAHAN
503 2013-01-01 WILLIAM SHANAHAN WILLIAM SHANAHAN 2014-09-20
503 2012-01-01 WILLIAM SHANAHAN WILLIAM SHANAHAN 2013-10-11
503 2011-01-01 WILLIAM SHANAHAN WILLIAM SHANAHAN 2012-10-09
503 2010-01-01 WILLIAM SHANAHAN WILLIAM SHANAHAN 2011-10-04
503 2009-01-01 WILLIAM SHANAHAN WILLIAM SHANAHAN 2011-10-04
503 2009-01-01 WILLIAM SHANAHAN WILLIAM SHANAHAN 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2023-01-01	MATTEO RENNA	2024-07-03
503	2022-01-01	PAUL KELLER	2023-07-12
503	2021-01-01	PAUL KELLER	2022-09-29
503	2020-01-01
503	2019-01-01
503	2018-01-01
503	2017-01-01	PAUL KELLER
503	2016-01-01	PAUL KELLER
503	2015-01-01
503	2014-01-01	WILLIAM SHANAHAN
503	2013-01-01	WILLIAM SHANAHAN		WILLIAM SHANAHAN	2014-09-20
503	2012-01-01	WILLIAM SHANAHAN		WILLIAM SHANAHAN	2013-10-11
503	2011-01-01	WILLIAM SHANAHAN		WILLIAM SHANAHAN	2012-10-09
503	2010-01-01	WILLIAM SHANAHAN		WILLIAM SHANAHAN	2011-10-04
503	2009-01-01	WILLIAM SHANAHAN		WILLIAM SHANAHAN	2011-10-04
503	2009-01-01	WILLIAM SHANAHAN		WILLIAM SHANAHAN	2010-10-13

Plan Statistics for MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN

401k plan membership statisitcs for MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN

Measure Date Value
2023: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 1,147
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 1,147
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 1,147
Number of employers contributing to the scheme 2023-01-01 0
2022: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,147
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,147
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 1,147
Number of employers contributing to the scheme 2022-01-01 0
2021: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,147
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,147
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 1,147
Number of employers contributing to the scheme 2021-01-01 0
2020: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,195
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 1,147
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 1,147
2019: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,116
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 1,195
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 1,195
2018: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,287
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 1,116
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 1,116
2017: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,517
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,287
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 1,287
2016: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,438
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 1,517
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 1,517
2015: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 714
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 709
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 709
2014: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 619
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 714
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 714
2013: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 651
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 619
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 619
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 619
Number of participants with account balances 2013-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 635
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 651
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 651
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 651
Number of participants with account balances 2012-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 643
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 635
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 635
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 635
Number of participants with account balances 2011-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 643
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 643
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 643
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 643
Number of participants with account balances 2010-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
2009: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 632
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 643
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 643
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 643
Number of participants with account balances 2009-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2023: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	1,147
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	1,147
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	1,147
Number of employers contributing to the scheme	2023-01-01	0
2022: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,147
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,147
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	1,147
Number of employers contributing to the scheme	2022-01-01	0
2021: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,147
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,147
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	1,147
Number of employers contributing to the scheme	2021-01-01	0
2020: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,195
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	1,147
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	1,147
2019: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,116
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	1,195
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	1,195
2018: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,287
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	1,116
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	1,116
2017: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,517
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,287
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	1,287
2016: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,438
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	1,517
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	1,517
2015: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	714
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	709
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	709
2014: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	619
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	714
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	714
2013: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	651
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	619
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	619
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	619
Number of participants with account balances	2013-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	635
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	651
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	651
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	651
Number of participants with account balances	2012-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	643
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	635
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	635
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	635
Number of participants with account balances	2011-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	643
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	643
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	643
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	643
Number of participants with account balances	2010-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
2009: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	632
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	643
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	643
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	643
Number of participants with account balances	2009-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Form 5500 Responses for MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN

2023: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Mulitple employer plan
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Mulitple employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Mulitple employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Mulitple employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Mulitple employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Mulitple employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Mulitple employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Mulitple employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: MONTEFIORE MEDICAL CENTER RETIREE MEDICAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

H52238-1

Policy instance

Insurance contract or identification number	H52238-1
Number of Individuals Covered	11715
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $328,851
Total amount of fees paid to insurance company	USD $147,245
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $6,948,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $328,851
Amount paid for insurance broker fees	147245
Additional information about fees paid to insurance broker	SERVICE FEE AND BONUS
Insurance broker organization code?	3
Insurance broker name	HAVENS & COMPANY INC

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Company Name:	MONTEFIORE MEDICAL CENTER
Employer identification number (EIN):	131740114
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1884-07-23
Company Identification Number:	19807
Legal Registered Office Address:	80 STATE STREET Bronx ALBANY United States of America (USA) 12207