401k Plan data: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN plan

NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN
Plan identification number	505

NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

MCLAREN NORTHERN MICHIGAN has sponsored the creation of one or more 401k plans.

Company Name: MCLAREN NORTHERN MICHIGAN

Employer identification number (EIN): 382146751

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about MCLAREN NORTHERN MICHIGAN

Jurisdiction of Incorporation: Michigan Secretary of State

Incorporation Date: 0000-00-00

Company Identification Number: 828000

Legal Registered Office Address: 416 CONNABLE AVE PETOSKEY

United States of America (USA)
49770

More information about MCLAREN NORTHERN MICHIGAN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2014-01-01 CHRISTINE VANSLEMBROUCK EUGENE KAMINSKI 2015-07-28
505 2013-01-01 CHRISTINE VANSLEMBROUCK EUGENE KAMINSKI 2014-06-24
505 2012-01-01 CHRISTINE VANSLEMBROUCK EUGENE KAMINSKI 2013-07-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2014-01-01	CHRISTINE VANSLEMBROUCK	EUGENE KAMINSKI	2015-07-28
505	2013-01-01	CHRISTINE VANSLEMBROUCK	EUGENE KAMINSKI	2014-06-24
505	2012-01-01	CHRISTINE VANSLEMBROUCK	EUGENE KAMINSKI	2013-07-15

Plan Statistics for NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN

401k plan membership statisitcs for NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN

Measure Date Value
2014: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
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 0
Total participants 2014-01-01 0
2013: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 645
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 621
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 2013-01-01 621
Total participants 2013-01-01 621
2012: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 638
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 645
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 2012-01-01 645
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 645

Measure	Date	Value
2014: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
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	0
Total participants	2014-01-01	0
2013: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	645
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	621
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	621
Total participants	2013-01-01	621
2012: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	638
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	645
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	645
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	645

Form 5500 Responses for NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN

2014: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
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 – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY 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 – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM LONG TERM DISABILITY 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

000010041947

Policy instance

Insurance contract or identification number	000010041947
Number of Individuals Covered	115
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,837
Total amount of fees paid to insurance company	USD $1,348
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
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 $45,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,837
Amount paid for insurance broker fees	1348
Additional information about fees paid to insurance broker	BROKER BONUS
Insurance broker organization code?	3
Insurance broker name	TIMBERLAND GROUP SERVICES, INC.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

0004000032002

Policy instance

Insurance contract or identification number	0004000032002
Number of Individuals Covered	506
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $32,608
Total amount of fees paid to insurance company	USD $13,238
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	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
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 $217,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $32,608
Amount paid for insurance broker fees	13238
Additional information about fees paid to insurance broker	BROKER BONUS
Insurance broker organization code?	3
Insurance broker name	TIMBERLAND GROUP SERVICES, INC.

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

000400003002

Policy instance

Insurance contract or identification number	000400003002
Number of Individuals Covered	533
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $49,755
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $294,203
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,901
Amount paid for insurance broker fees	5625
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	TIMBERLAND GROUP SERVICES INC

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

000010041947

Policy instance

Insurance contract or identification number	000010041947
Number of Individuals Covered	112
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $6,081
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $29,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,382
Amount paid for insurance broker fees	1594
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	TIMBERLAND GROUP SERVICES INC

Potentially related plans

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	MCLAREN NORTHERN MICHIGAN
Employer identification number (EIN):	382146751
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Michigan Secretary of State
Incorporation Date:	0000-00-00
Company Identification Number:	828000
Legal Registered Office Address:	416 CONNABLE AVE PETOSKEY United States of America (USA) 49770