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PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 401k Plan overview

Plan NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN
Plan identification number 502

PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN Benefits

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

401k Sponsoring company profile

PINE REST CHRISTIAN MENTAL HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name:PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Employer identification number (EIN):381368360
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number: 841032

More information about PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-07-01
5022017-07-01SUZANNE BOLT2020-03-05
5022016-07-01
5022015-07-01SUZANNE BOLT
5022014-07-01MARY DALE
5022013-07-01ANDREW GEORGE
5022012-07-01ANDREW GEORGE
5022011-07-01ANDREW GEORGE
5022010-07-01ANDREW GEORGE
5022009-07-01ANDREW GEORGE
5022008-07-01 ANDREW GEORGE2010-01-28

Plan Statistics for PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN

401k plan membership statisitcs for PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN

Measure Date Value
2017: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01879
Total number of active participants reported on line 7a of the Form 55002017-07-01879
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01879
Number of employers contributing to the scheme2017-07-010
2016: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01879
Total number of active participants reported on line 7a of the Form 55002016-07-01879
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01879
2015: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01879
Total number of active participants reported on line 7a of the Form 55002015-07-01879
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 participants2015-07-01879
2014: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01879
Total number of active participants reported on line 7a of the Form 55002014-07-01879
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 participants2014-07-01879
2013: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01879
Total number of active participants reported on line 7a of the Form 55002013-07-01879
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-01879
2012: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01879
Total number of active participants reported on line 7a of the Form 55002012-07-01879
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01879
2011: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01817
Total number of active participants reported on line 7a of the Form 55002011-07-01879
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01879
2010: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01779
Total number of active participants reported on line 7a of the Form 55002010-07-01804
Total of all active and inactive participants2010-07-01804
Total participants2010-07-01804
2009: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01774
Total number of active participants reported on line 7a of the Form 55002009-07-01779
Total of all active and inactive participants2009-07-01779
Total participants2009-07-01779
2008: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2008 401k membership
Total participants, beginning-of-year2008-07-01720
Total number of active participants reported on line 7a of the Form 55002008-07-01774
Number of retired or separated participants receiving benefits2008-07-010
Number of other retired or separated participants entitled to future benefits2008-07-010
Total of all active and inactive participants2008-07-01774
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-07-010
Total participants2008-07-01774

Form 5500 Responses for PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN

2017: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedYes
2017-07-01This submission is the final filingYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
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 benefit arrangement – InsuranceYes
2010: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes
2008: PINE REST CHRISTIAN MENTAL HEALTH SERVICES GROUP AND VOLUNTARY LIFE INSURANCE PLAN 2008 form 5500 responses
2008-07-01Type of plan entitySingle employer plan
2008-07-01Submission has been amendedNo
2008-07-01This submission is the final filingNo
2008-07-01This return/report is a short plan year return/report (less than 12 months)No
2008-07-01Plan is a collectively bargained planNo
2008-07-01Plan funding arrangement – InsuranceYes
2008-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961875
Policy instance 1
Insurance contract or identification numberFLX961875
Number of Individuals Covered879
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,660
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $232,131
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,660
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameBUITEN AND ASSOCIATES, LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961875
Policy instance 1
Insurance contract or identification numberFLX961875
Number of Individuals Covered879
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $4,306
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $161,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,099
Insurance broker organization code?3
Insurance broker nameBUITEN AND ASSOCIATES, LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961875
Policy instance 1
Insurance contract or identification numberFLX961875
Number of Individuals Covered879
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $4,315
Total amount of fees paid to insurance companyUSD $1,429
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $165,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,315
Amount paid for insurance broker fees1429
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES, LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961875
Policy instance 1
Insurance contract or identification numberFLX961875
Number of Individuals Covered879
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $4,157
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $134,776
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,157
Insurance broker organization code?3
Insurance broker nameUSI INSURANCE SERVICES, LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961875
Policy instance 1
Insurance contract or identification numberFLX961875
Number of Individuals Covered879
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $4,182
Total amount of fees paid to insurance companyUSD $1,018
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $139,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,128
Amount paid for insurance broker fees1018
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Insurance broker nameBUITEN AND ASSOCIATES, LLC
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961875
Policy instance 1
Insurance contract or identification numberFLX961875
Number of Individuals Covered879
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $4,111
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $126,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX961875
Policy instance 1
Insurance contract or identification numberFLX961875
Number of Individuals Covered804
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $4,096
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $121,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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