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HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 401k Plan overview

Plan NameHOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN
Plan identification number 510

HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

HOULTON REGIONAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:HOULTON REGIONAL HOSPITAL
Employer identification number (EIN):237134386
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102022-01-01
5102021-01-01
5102020-01-01
5102019-01-01
5102018-01-01
5102017-01-01THOMAS MOAKLER
5102016-01-01VICTORIA MOODY
5102015-01-01VICTORIA MOODY
5102014-01-01VICTORIA MOODY
5102013-01-01VICTORIA MOODY
5102012-01-01VICTORIA MOODY
5102011-01-01VICTORIA MOODY
5102009-01-01VICTORIA MOODY

Plan Statistics for HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN

401k plan membership statisitcs for HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN

Measure Date Value
2022: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01323
Total number of active participants reported on line 7a of the Form 55002022-01-01334
Total of all active and inactive participants2022-01-01334
Total participants2022-01-01334
2021: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01339
Total number of active participants reported on line 7a of the Form 55002021-01-01323
Total of all active and inactive participants2021-01-01323
Total participants2021-01-01323
2020: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01350
Total number of active participants reported on line 7a of the Form 55002020-01-01339
Total of all active and inactive participants2020-01-01339
Total participants2020-01-01339
2019: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01350
Total number of active participants reported on line 7a of the Form 55002019-01-01350
Total of all active and inactive participants2019-01-01350
Total participants2019-01-01350
Number of participants with account balances2019-01-010
2018: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01366
Total number of active participants reported on line 7a of the Form 55002018-01-01350
Total of all active and inactive participants2018-01-01350
Total participants2018-01-01350
2017: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01372
Total number of active participants reported on line 7a of the Form 55002017-01-01366
Total of all active and inactive participants2017-01-01366
Total participants2017-01-01366
2016: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01368
Total number of active participants reported on line 7a of the Form 55002016-01-01372
Total of all active and inactive participants2016-01-01372
Total participants2016-01-01372
2015: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01367
Total number of active participants reported on line 7a of the Form 55002015-01-01368
Total of all active and inactive participants2015-01-01368
Total participants2015-01-010
2014: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01385
Total number of active participants reported on line 7a of the Form 55002014-01-01367
Total of all active and inactive participants2014-01-01367
Total participants2014-01-010
2013: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01394
Total number of active participants reported on line 7a of the Form 55002013-01-01385
Total of all active and inactive participants2013-01-01385
Total participants2013-01-010
2012: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01389
Total number of active participants reported on line 7a of the Form 55002012-01-01394
Total of all active and inactive participants2012-01-01394
Total participants2012-01-010
2011: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01399
Total number of active participants reported on line 7a of the Form 55002011-01-01389
Total of all active and inactive participants2011-01-01389
Total participants2011-01-01389
2009: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01380
Total number of active participants reported on line 7a of the Form 55002009-01-01400
Total of all active and inactive participants2009-01-01400
Total participants2009-01-01400

Form 5500 Responses for HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN

2022: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: HOULTON REGIONAL HOSPITAL LIFE INSURANCE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69277-8
Policy instance 1
Insurance contract or identification number69277-8
Number of Individuals Covered334
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,120
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,120
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69277-8
Policy instance 1
Insurance contract or identification number69277-8
Number of Individuals Covered323
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $6,674
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,423
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,674
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69277-8
Policy instance 1
Insurance contract or identification number69277-8
Number of Individuals Covered339
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $6,112
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,279
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,112
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69277-8
Policy instance 1
Insurance contract or identification number69277-8
Number of Individuals Covered350
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,898
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,898
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69277-8
Policy instance 1
Insurance contract or identification number69277-8
Number of Individuals Covered350
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,911
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,911
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69277-8
Policy instance 2
Insurance contract or identification number69277-8
Number of Individuals Covered366
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,049
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,049
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF MASSACHUSETTS LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered1
Insurance policy start date2016-12-15
Insurance policy end date2017-12-15
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number011624
Policy instance 2
Insurance contract or identification number011624
Number of Individuals Covered368
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,415
Welfare Benefit Premiums Paid to CarrierUSD $73,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,415
Insurance broker organization code?3
Insurance broker nameTIMOTHY ROONEY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered2
Insurance policy start date2014-12-15
Insurance policy end date2015-12-15
Welfare Benefit Premiums Paid to CarrierUSD $1,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number011624
Policy instance 2
Insurance contract or identification number011624
Number of Individuals Covered367
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,404
Welfare Benefit Premiums Paid to CarrierUSD $72,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,404
Insurance broker organization code?3
Insurance broker nameTIMOTHY ROONEY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered4
Insurance policy start date2013-12-15
Insurance policy end date2014-12-15
Welfare Benefit Premiums Paid to CarrierUSD $1,990
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number011624
Policy instance 2
Insurance contract or identification number011624
Number of Individuals Covered385
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,359
Welfare Benefit Premiums Paid to CarrierUSD $70,636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,359
Insurance broker organization code?3
Insurance broker nameTIMOTHY ROONEY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 1
Insurance contract or identification numberN/A
Number of Individuals Covered4
Insurance policy start date2012-12-15
Insurance policy end date2013-12-14
Welfare Benefit Premiums Paid to CarrierUSD $1,971
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number011624
Policy instance 1
Insurance contract or identification number011624
Number of Individuals Covered394
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,401
Welfare Benefit Premiums Paid to CarrierUSD $72,574
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,401
Insurance broker organization code?3
Insurance broker nameTIMOTHY ROONEY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered4
Insurance policy start date2011-12-15
Insurance policy end date2012-12-14
Welfare Benefit Premiums Paid to CarrierUSD $2,281
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered5
Insurance policy start date2010-12-15
Insurance policy end date2011-12-14
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number011624
Policy instance 1
Insurance contract or identification number011624
Number of Individuals Covered389
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,337
Welfare Benefit Premiums Paid to CarrierUSD $69,467
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number011624
Policy instance 1
Insurance contract or identification number011624
Number of Individuals Covered399
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,355
Welfare Benefit Premiums Paid to CarrierUSD $70,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,355
Insurance broker organization code?3
Insurance broker nameTIMOTHY ROONEY
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberN/A
Policy instance 2
Insurance contract or identification numberN/A
Number of Individuals Covered5
Insurance policy start date2009-12-15
Insurance policy end date2010-12-14
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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