Form 5500 · Retirement plan · HUNTINGDON, PA
J.C. BLAIR MEMORIAL HOSPITAL
The filing calls this plan PENN HIGHLANDS HUNTINGDON 403(B) RETIREMENT PLAN.
J.C. BLAIR MEMORIAL HOSPITAL of HUNTINGDON, PA's retirement plan holds 3 insurance-company contracts (annuities or guaranteed-interest accounts), disclosed on Schedule A of its Form 5500. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 23-1352159 · plan 002 · plan year 2023, filed Dec 20, 2024
Plan brief
Schedule A lists 3 insurance contracts held by the plan — annuities, guaranteed-interest accounts or similar funding vehicles. The largest number are with METROPOLITAN LIFE OF CT.
The filing discloses no agent commission on these contracts.
A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.
The contract year ended in December.
Schedule A insurance contracts
| Carrier | Contract type | Covered | Year ends | Contract value | Commission |
|---|---|---|---|---|---|
| METROPOLITAN LIFE OF CT | Annuity / GIC | 0 | December | — | $0 |
| NEW YORK LIFE INSURANCE COMPANY | Annuity / GIC | 0 | December | — | $0 |
| THE VARIABLE ANNUITY LIFE INSURANCE CO. | Annuity / GIC | 0 | December | — | $0 |
Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.
Administrator and service providers
The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.
Reported to OSHA
Reported to OSHA for 2025: 583 employees, 24 recordable cases, 401 days away from work.
Source: OSHA Injury Tracking Application establishment data, 2025.
What the plan holds
Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H
Who runs the plan
From Schedule H of this filing.
The filing reports that employee contributions were not forwarded to the plan on time (line 4a).
This plan filed under the Department of Labor's voluntary program for late filings.
Other plans filed by this employer
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